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General NPI Number Information
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NPI Number | 1457241291
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Entity Type | Organization
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Legal Business Name | HEART FILLED HOMES
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Dates
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Enumeration Date | 07/03/2025
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Last Update Date | 10/17/2025
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Provider Practice Location Address
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Address Line | 5285 NORTHFIELD RD
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City | BEDFORD HTS
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State | OH
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Zip | 44146-1131
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Country | US
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Telephone | 216-551-1849
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 22118
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City | BEACHWOOD
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State | OH
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Zip | 44122-0118
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JETHEL WARE III
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Credential |
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Telephone | 216-551-1849
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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