Provider Demographics
NPI:1700628146
Name:HEARTFELT CARE AND SUPPORT LLC
Entity type:Organization
Organization Name:HEARTFELT CARE AND SUPPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:KOFFI
Authorized Official - Middle Name:
Authorized Official - Last Name:EKOUEVI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-314-7923
Mailing Address - Street 1:2836 OSAGE DR
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD TOWNSHIP
Mailing Address - State:OH
Mailing Address - Zip Code:45011-7634
Mailing Address - Country:US
Mailing Address - Phone:513-720-6072
Mailing Address - Fax:
Practice Address - Street 1:2836 OSAGE DR
Practice Address - Street 2:
Practice Address - City:FAIRFIELD TOWNSHIP
Practice Address - State:OH
Practice Address - Zip Code:45011-7634
Practice Address - Country:US
Practice Address - Phone:513-720-6072
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-07
Last Update Date:2024-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty