MEDICARE: HOLDING HEARTS 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	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1740983048
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOLDING HEARTS LLC

Provider Business Mailing Address
First Line	:	3760 SILVER LAKE RD NE APT 1332
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55421-4483
Country	:	US
Telephone Number	:	612-598-4845
Fax Number	:

Provider Business Practice Location Address
First Line	:	3760 SILVER LAKE RD NE APT 1332
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55421-4483
Country	:	US
Telephone Number	:	612-598-4845
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	AMADIN KAHIN
Credential	:
Telephone Number	:	612-598-4845

Provider Enumeration Date	:	03/24/2023
Last Update Date	:	06/14/2023

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Directions to “HOLDING HEARTS LLC ” Practice Location

Language	Start Address	Practice Location

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