Provider Demographics
NPI:1891087334
Name:CARE WITH HEART HOME SERVICES, LLC
Entity type:Organization
Organization Name:CARE WITH HEART HOME SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:EVARISTUS
Authorized Official - Middle Name:
Authorized Official - Last Name:EJIMADU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-848-0935
Mailing Address - Street 1:245 NORTH RUTH STREET
Mailing Address - Street 2:SUITE 201
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55119
Mailing Address - Country:US
Mailing Address - Phone:952-936-6862
Mailing Address - Fax:
Practice Address - Street 1:245 RUTH ST N
Practice Address - Street 2:SUITE 201
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55119-4323
Practice Address - Country:US
Practice Address - Phone:651-730-1555
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-03
Last Update Date:2011-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health