Provider Demographics
NPI:1326896739
Name:HEARTS UNITED HOMECARE STAFFING INC
Entity type:Organization
Organization Name:HEARTS UNITED HOMECARE STAFFING INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CAROLYNE
Authorized Official - Middle Name:
Authorized Official - Last Name:NDERITU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:253-298-2874
Mailing Address - Street 1:PO BOX 7885
Mailing Address - Street 2:
Mailing Address - City:BONNEY LAKE
Mailing Address - State:WA
Mailing Address - Zip Code:98391-0985
Mailing Address - Country:US
Mailing Address - Phone:253-355-2263
Mailing Address - Fax:
Practice Address - Street 1:10202 PACIFIC AVE S STE 216
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98444-6573
Practice Address - Country:US
Practice Address - Phone:253-298-2874
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-09
Last Update Date:2024-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No385H00000XRespite Care FacilityRespite Care