MEDICARE: HEARTY HEARTS HOME HEALTH, LLC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency		OH

General Provider Information

NPI Number	:	1508103631
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEARTY HEARTS HOME HEALTH, LLC.

Provider Business Mailing Address
First Line	:	4161 RIDGE ROAD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44144
Country	:	US
Telephone Number	:	216-898-5533
Fax Number	:	216-898-5532

Provider Business Practice Location Address
First Line	:	4161 RIDGE ROAD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44144
Country	:	US
Telephone Number	:	216-898-5533
Fax Number	:	216-898-5532

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	MS. EMINELLY GARCED
Credential	:	RN
Telephone Number	:	216-898-5533

Provider Enumeration Date	:	01/09/2013
Last Update Date	:	01/18/2019

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