Provider Demographics
NPI:1700245636
Name:14 HEARTS HEALTHCARE AGENCY, LLC
Entity Type:Organization
Organization Name:14 HEARTS HEALTHCARE AGENCY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:BARNES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:234-706-6100
Mailing Address - Street 1:1900 W MARKET ST LOWER LEVEL UNIT L
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44313-6927
Mailing Address - Country:US
Mailing Address - Phone:234-706-6100
Mailing Address - Fax:
Practice Address - Street 1:1900 W MARKET ST LOWER LEVEL UNIT L
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44313-6927
Practice Address - Country:US
Practice Address - Phone:234-706-6100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-20
Last Update Date:2022-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2389106253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care