Provider Demographics
NPI:1508739525
Name:HOME OF HEARTS INC
Entity type:Organization
Organization Name:HOME OF HEARTS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:CASSANDRA
Authorized Official - Last Name:NOBLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-512-9646
Mailing Address - Street 1:26761 HANALEI CT
Mailing Address - Street 2:
Mailing Address - City:MENIFEE
Mailing Address - State:CA
Mailing Address - Zip Code:92586-4857
Mailing Address - Country:US
Mailing Address - Phone:951-443-5227
Mailing Address - Fax:916-512-9646
Practice Address - Street 1:26761 HANALEI CT
Practice Address - Street 2:
Practice Address - City:MENIFEE
Practice Address - State:CA
Practice Address - Zip Code:92586-4857
Practice Address - Country:US
Practice Address - Phone:951-443-5227
Practice Address - Fax:916-512-9646
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-25
Last Update Date:2025-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities