Provider Demographics
NPI:1669221909
Name:BEST OF HEART LLC
Entity type:Organization
Organization Name:BEST OF HEART LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED NURSE
Authorized Official - Prefix:
Authorized Official - First Name:VALORINE
Authorized Official - Middle Name:
Authorized Official - Last Name:TSOPMOH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-886-9804
Mailing Address - Street 1:41065 W CATHEDRAL ROCK PASS
Mailing Address - Street 2:NULL
Mailing Address - City:MARICOPA
Mailing Address - State:AZ
Mailing Address - Zip Code:85138
Mailing Address - Country:US
Mailing Address - Phone:405-886-9804
Mailing Address - Fax:
Practice Address - Street 1:41065 W CATHEDRAL ROCK PASS
Practice Address - Street 2:NULL
Practice Address - City:MARICOPA
Practice Address - State:AZ
Practice Address - Zip Code:85138
Practice Address - Country:US
Practice Address - Phone:405-886-9804
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-17
Last Update Date:2024-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility