Provider Demographics
NPI:1841080264
Name:HEARTH INITIATIVE CORPORATION
Entity type:Organization
Organization Name:HEARTH INITIATIVE CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-FOUNDER/ CHILDCARE PARTNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TAKYHA
Authorized Official - Middle Name:M
Authorized Official - Last Name:CLAY
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:414-296-1271
Mailing Address - Street 1:1840 N DR MARTIN LUTHER KING DR
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53212-3640
Mailing Address - Country:US
Mailing Address - Phone:414-296-1271
Mailing Address - Fax:
Practice Address - Street 1:1840 N DR MARTIN LUTHER KING DR
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53212-3640
Practice Address - Country:US
Practice Address - Phone:414-296-1271
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-08
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No3245S0500XResidential Treatment FacilitiesSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, Children
No253Z00000XAgenciesIn Home Supportive Care
No324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
No106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Multi-Specialty
No174200000XOther Service ProvidersMeals
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251E00000XAgenciesHome Health
No251K00000XAgenciesPublic Health or Welfare