Healthcare Provider Details

I. General information

NPI: 1699680967
Provider Name (Legal Business Name): HEARTFELT CARE SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 E 33RD AVE UNIT 5119
EUGENE OR
97405-0806
US

IV. Provider business mailing address

PO BOX 5119
EUGENE OR
97405-0119
US

V. Phone/Fax

Practice location:
  • Phone: 541-224-8102
  • Fax: 541-224-8102
Mailing address:
  • Phone: 541-224-8102
  • Fax: 541-224-8102

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: HOLLY COOPER
Title or Position: OWNER/ADMINISTRATOR
Credential:
Phone: 310-871-9316