Provider Demographics
NPI:1801686084
Name:ALISON HOUSE OF HEARTS
Entity type:Organization
Organization Name:ALISON HOUSE OF HEARTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ALISON
Authorized Official - Middle Name:LYNETTE
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-799-6876
Mailing Address - Street 1:435 S TAHQUITZ AVE
Mailing Address - Street 2:
Mailing Address - City:HEMET
Mailing Address - State:CA
Mailing Address - Zip Code:92543-5818
Mailing Address - Country:US
Mailing Address - Phone:323-799-6876
Mailing Address - Fax:
Practice Address - Street 1:435 S TAHQUITZ AVE
Practice Address - Street 2:
Practice Address - City:HEMET
Practice Address - State:CA
Practice Address - Zip Code:92543-5818
Practice Address - Country:US
Practice Address - Phone:323-799-6876
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-09
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health