MEDICARE: OPEN HARTS HOMECARE

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	251C00000X	Developmentally Disabled Services Day Training Agency

General Provider Information

NPI Number	:	1548138829
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OPEN HARTS HOMECARE

Provider Business Mailing Address
First Line	:	11114 LINCOLN AVE
Second Line	:
City	:	GARFIELD HTS
State	:	OH
Zip	:	44125-2738
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	11114 LINCOLN AVE
Second Line	:
City	:	GARFIELD HTS
State	:	OH
Zip	:	44125-2738
Country	:	US
Telephone Number	:	216-496-5674
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	INDIA MITCHELL
Credential	:
Telephone Number	:	216-496-5674

Provider Enumeration Date	:	10/28/2025
Last Update Date	:	10/28/2025

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1205939329 — ELIZABETH A JOHNSON RPH
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Directions to “OPEN HARTS HOMECARE ” Practice Location

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