Healthcare Provider Details

I. General information

NPI: 1831920008
Provider Name (Legal Business Name): CAREHEARTS HOME CARE AGENCY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2024
Last Update Date: 08/09/2024
Certification Date: 08/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6032 FOX RUN LN
MOUNT PLEASANT WI
53406-1516
US

IV. Provider business mailing address

6032 FOX RUN LN
MOUNT PLEASANT WI
53406-1516
US

V. Phone/Fax

Practice location:
  • Phone: 262-629-7150
  • Fax:
Mailing address:
  • Phone: 414-595-5310
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: FRANCISCA NDUOYO IKHUMHEN
Title or Position: OWNER/EMPLOYEE
Credential: PHARMD
Phone: 414-595-5310