Provider Demographics
NPI:1528850146
Name:HIS DAUGHTERS HEART LLC
Entity type:Organization
Organization Name:HIS DAUGHTERS HEART LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MANASEB
Authorized Official - Middle Name:G
Authorized Official - Last Name:TOMMASS
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:614-285-7673
Mailing Address - Street 1:8417 NIGHTHAWK LN
Mailing Address - Street 2:
Mailing Address - City:CANAL WINCHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:43110-9781
Mailing Address - Country:US
Mailing Address - Phone:614-285-7673
Mailing Address - Fax:
Practice Address - Street 1:8417 NIGHTHAWK LN
Practice Address - Street 2:
Practice Address - City:CANAL WINCHESTER
Practice Address - State:OH
Practice Address - Zip Code:43110-9781
Practice Address - Country:US
Practice Address - Phone:614-285-7673
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-20
Last Update Date:2025-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle