Provider Demographics
NPI:1861934978
Name:BIG HEART HOME HEALTH CARE LLC
Entity type:Organization
Organization Name:BIG HEART HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TAMIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHELBURN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:216-551-5926
Mailing Address - Street 1:4754 BIRCHWOOD RD
Mailing Address - Street 2:
Mailing Address - City:GARFIELD HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44125-2077
Mailing Address - Country:US
Mailing Address - Phone:216-551-5926
Mailing Address - Fax:440-815-2237
Practice Address - Street 1:4754 BIRCHWOOD RD
Practice Address - Street 2:
Practice Address - City:GARFIELD HTS
Practice Address - State:OH
Practice Address - Zip Code:44125-2077
Practice Address - Country:US
Practice Address - Phone:216-551-5926
Practice Address - Fax:440-815-2237
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-07
Last Update Date:2016-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health