Provider Demographics
NPI:1558198127
Name:HEALING HEARTS OF KENTUCKY, LLC
Entity type:Organization
Organization Name:HEALING HEARTS OF KENTUCKY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:JAYLINN
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-793-3213
Mailing Address - Street 1:8311 AUTUMNWOOD WAY
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40291-2800
Mailing Address - Country:US
Mailing Address - Phone:678-793-3213
Mailing Address - Fax:
Practice Address - Street 1:8311 AUTUMNWOOD WAY
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40291-2800
Practice Address - Country:US
Practice Address - Phone:678-793-3213
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-17
Last Update Date:2024-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care
No261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities