Provider Demographics
NPI:1841940277
Name:HEARTISTIC CARE SOLUTIONS
Entity type:Organization
Organization Name:HEARTISTIC CARE SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DZIGBODI
Authorized Official - Middle Name:AMEYOVI
Authorized Official - Last Name:DABONI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-429-0534
Mailing Address - Street 1:15873 E 7TH AVE
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80011-4500
Mailing Address - Country:US
Mailing Address - Phone:720-429-0534
Mailing Address - Fax:
Practice Address - Street 1:15873 E 7TH AVE
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80011-4500
Practice Address - Country:US
Practice Address - Phone:720-429-0534
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-28
Last Update Date:2022-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No347E00000XTransportation ServicesTransportation Broker
No385H00000XRespite Care FacilityRespite Care