Provider Demographics
NPI:1417781139
Name:BONDING HEARTS LLC
Entity type:Organization
Organization Name:BONDING HEARTS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PROVIDER/RN
Authorized Official - Prefix:
Authorized Official - First Name:SHANTI
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAKYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-398-4730
Mailing Address - Street 1:20015 95TH PL S
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98031-1460
Mailing Address - Country:US
Mailing Address - Phone:425-473-0290
Mailing Address - Fax:
Practice Address - Street 1:20015 95TH PL S
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98031-1460
Practice Address - Country:US
Practice Address - Phone:509-398-4730
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-27
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse