Healthcare Provider Details

I. General information

NPI: 1447886973
Provider Name (Legal Business Name): INFINITY HEARTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2020
Last Update Date: 09/01/2024
Certification Date: 09/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25000 EUCLID AVE STE 206
EUCLID OH
44117-2647
US

IV. Provider business mailing address

25000 EUCLID AVE STE 206
EUCLID OH
44117-2647
US

V. Phone/Fax

Practice location:
  • Phone: 216-233-1820
  • Fax: 888-622-2385
Mailing address:
  • Phone: 216-233-1820
  • Fax: 888-622-2385

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: SHEREE LAVETTE STARR
Title or Position: CEO
Credential: FNP-BC
Phone: 216-233-1820