Provider Demographics
NPI:1649777004
Name:OPEN HEARTS CARE
Entity type:Organization
Organization Name:OPEN HEARTS CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ROSEMARY
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON-EATON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-365-6459
Mailing Address - Street 1:135 E ELGIN CT
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19702-4004
Mailing Address - Country:US
Mailing Address - Phone:302-365-6459
Mailing Address - Fax:
Practice Address - Street 1:135 E ELGIN CT
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19702-4004
Practice Address - Country:US
Practice Address - Phone:302-365-6459
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-11
Last Update Date:2018-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE040982153251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health