Provider Demographics
NPI:1649062522
Name:HEART IN GOOD HAND LLC
Entity type:Organization
Organization Name:HEART IN GOOD HAND LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ABALA KOMA
Authorized Official - Middle Name:
Authorized Official - Last Name:TASSIKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:309-644-2037
Mailing Address - Street 1:5233 POTOMAC LN
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:IN
Mailing Address - Zip Code:46142-8811
Mailing Address - Country:US
Mailing Address - Phone:888-675-0299
Mailing Address - Fax:188-867-5029
Practice Address - Street 1:5233 POTOMAC LN
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:IN
Practice Address - Zip Code:46142-8811
Practice Address - Country:US
Practice Address - Phone:888-675-0299
Practice Address - Fax:188-867-5029
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-19
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care