Provider Demographics
NPI:1073352779
Name:GOODHEARTED HOME HEALTH LLC
Entity type:Organization
Organization Name:GOODHEARTED HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CARINE
Authorized Official - Middle Name:
Authorized Official - Last Name:BENG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-883-5468
Mailing Address - Street 1:678 BROCKWELL BEND
Mailing Address - Street 2:
Mailing Address - City:FORNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75126
Mailing Address - Country:US
Mailing Address - Phone:513-883-5468
Mailing Address - Fax:214-593-3845
Practice Address - Street 1:678 BROCKWELL BEND
Practice Address - Street 2:
Practice Address - City:FORNEY
Practice Address - State:TX
Practice Address - Zip Code:75126
Practice Address - Country:US
Practice Address - Phone:513-883-5468
Practice Address - Fax:214-593-3845
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-22
Last Update Date:2024-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
No251E00000XAgenciesHome HealthGroup - Multi-Specialty