Provider Demographics
NPI:1912525734
Name:HEARTWORKERS
Entity Type:Organization
Organization Name:HEARTWORKERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:OLENA
Authorized Official - Middle Name:
Authorized Official - Last Name:KHAIETSKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-290-7677
Mailing Address - Street 1:1261 US HIGHWAY 1
Mailing Address - Street 2:SUITE 2
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08837
Mailing Address - Country:US
Mailing Address - Phone:908-290-7677
Mailing Address - Fax:
Practice Address - Street 1:1261 US HIGHWAY 1 STE 2
Practice Address - Street 2:
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08837-3113
Practice Address - Country:US
Practice Address - Phone:908-290-7677
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-08
Last Update Date:2023-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care