Provider Demographics
NPI:1982999066
Name:HEARTFELT CARES LLC
Entity Type:Organization
Organization Name:HEARTFELT CARES LLC
Other - Org Name:COMMUNITY CAREGIVERS OF WEST AKRON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:A
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:330-836-8585
Mailing Address - Street 1:66 S MILLER RD STE 200
Mailing Address - Street 2:
Mailing Address - City:FAIRLAWN
Mailing Address - State:OH
Mailing Address - Zip Code:44333-4178
Mailing Address - Country:US
Mailing Address - Phone:330-836-8585
Mailing Address - Fax:330-836-2081
Practice Address - Street 1:66 S MILLER RD STE 200
Practice Address - Street 2:
Practice Address - City:FAIRLAWN
Practice Address - State:OH
Practice Address - Zip Code:44333-4178
Practice Address - Country:US
Practice Address - Phone:330-836-8585
Practice Address - Fax:330-836-2081
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-16
Last Update Date:2011-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1608101251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH149254923Medicaid