Provider Demographics
NPI:1316513518
Name:WHOLE HEART ELDER CARE
Entity type:Organization
Organization Name:WHOLE HEART ELDER CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER & CEO
Authorized Official - Prefix:
Authorized Official - First Name:LAURIANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:BEACHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-919-5602
Mailing Address - Street 1:238 E MAIN ST STE E
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97520-1863
Mailing Address - Country:US
Mailing Address - Phone:541-708-0440
Mailing Address - Fax:
Practice Address - Street 1:238 E MAIN ST STE E
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:OR
Practice Address - Zip Code:97520-1863
Practice Address - Country:US
Practice Address - Phone:541-708-0440
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-28
Last Update Date:2021-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care