Provider Demographics
NPI:1194150680
Name:ALL HEART HOME CARE LLC
Entity type:Organization
Organization Name:ALL HEART HOME CARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:WILHELM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-704-6741
Mailing Address - Street 1:143 N MICHIGAN AVE
Mailing Address - Street 2:P.O. BOX 896
Mailing Address - City:EDGERTON
Mailing Address - State:OH
Mailing Address - Zip Code:43517-9322
Mailing Address - Country:US
Mailing Address - Phone:419-298-0034
Mailing Address - Fax:888-403-3871
Practice Address - Street 1:143 N MICHIGAN AVE
Practice Address - Street 2:
Practice Address - City:EDGERTON
Practice Address - State:OH
Practice Address - Zip Code:43517-9322
Practice Address - Country:US
Practice Address - Phone:419-298-0034
Practice Address - Fax:888-403-3871
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-04
Last Update Date:2013-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care