=====================================================
General NPI Number Information
=====================================================
NPI Number | 1669358065
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HEARTSTONE LIVING LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/12/2025
-----------------------------------------------------
Last Update Date | 08/12/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 909 E 17TH ST
-----------------------------------------------------
City | NORWALK
-----------------------------------------------------
State | IA
-----------------------------------------------------
Zip | 50211-2072
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 202-590-3982
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 909 E 17TH ST
-----------------------------------------------------
City | NORWALK
-----------------------------------------------------
State | IA
-----------------------------------------------------
Zip | 50211-2072
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 202-590-3982
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTOR
-----------------------------------------------------
Name | SAED MOHAMUD WARSAME
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 202-590-3982
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 374U00000X
-----------------------------------------------------
Taxonomy Name | Home Health Aide
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------