Healthcare Provider Details

I. General information

NPI: 1033876578
Provider Name (Legal Business Name): THE HEART CARES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/18/2021
Last Update Date: 02/10/2022
Certification Date: 02/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

269 W ELDORADO ST STE D
DECATUR IL
62522-2112
US

IV. Provider business mailing address

269 W ELDORADO ST STE D
DECATUR IL
62522-2112
US

V. Phone/Fax

Practice location:
  • Phone: 530-481-6856
  • Fax: 833-239-5090
Mailing address:
  • Phone: 530-481-6856
  • Fax: 833-239-5090

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. CHERIE REED
Title or Position: ADMINISTRATOR/OWNER
Credential: RN
Phone: 217-855-0755