Provider Demographics
NPI:1902126394
Name:H.E.A.R.T. INCORPORATED
Entity Type:Organization
Organization Name:H.E.A.R.T. INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RANDY
Authorized Official - Middle Name:L
Authorized Official - Last Name:SCHEMBRI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-250-9348
Mailing Address - Street 1:5210 CLEVELAND BLVD # 140-138
Mailing Address - Street 2:
Mailing Address - City:CALDWELL
Mailing Address - State:ID
Mailing Address - Zip Code:83607-1796
Mailing Address - Country:US
Mailing Address - Phone:208-250-9348
Mailing Address - Fax:
Practice Address - Street 1:1823 VENTURA DR
Practice Address - Street 2:
Practice Address - City:NAMPA
Practice Address - State:ID
Practice Address - Zip Code:83686-6228
Practice Address - Country:US
Practice Address - Phone:208-250-9348
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-08
Last Update Date:2010-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services