Provider Demographics
NPI:1144818899
Name:WHOLEHEARTED SERVICES LLC
Entity type:Organization
Organization Name:WHOLEHEARTED SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:
Authorized Official - Last Name:KEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-484-4467
Mailing Address - Street 1:2514 UNITY AVE N
Mailing Address - Street 2:
Mailing Address - City:GOLDEN VALLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55422-3452
Mailing Address - Country:US
Mailing Address - Phone:952-484-4467
Mailing Address - Fax:763-600-6102
Practice Address - Street 1:2514 UNITY AVE N
Practice Address - Street 2:
Practice Address - City:GOLDEN VALLEY
Practice Address - State:MN
Practice Address - Zip Code:55422-3452
Practice Address - Country:US
Practice Address - Phone:952-484-4467
Practice Address - Fax:763-600-6102
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-07
Last Update Date:2021-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health