Provider Demographics
NPI:1801587688
Name:HEARTS AT HOME LLC
Entity type:Organization
Organization Name:HEARTS AT HOME LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FRANCHISE OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:D
Authorized Official - Last Name:HOLCOMB
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:208-600-0760
Mailing Address - Street 1:418 E LAKESIDE AVE
Mailing Address - Street 2:SUITE 6 - 1
Mailing Address - City:COEUR D'ALENE
Mailing Address - State:ID
Mailing Address - Zip Code:83814-2805
Mailing Address - Country:US
Mailing Address - Phone:208-600-0760
Mailing Address - Fax:
Practice Address - Street 1:418 E LAKESIDE AVE
Practice Address - Street 2:SUITE 6 - 1
Practice Address - City:COEUR D'ALENE
Practice Address - State:ID
Practice Address - Zip Code:83814-2805
Practice Address - Country:US
Practice Address - Phone:208-600-0760
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-15
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health