MEDICARE: OPEN HEARTS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	385H00000X	Respite Care

General Provider Information

NPI Number	:	1326938317
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OPEN HEARTS

Provider Business Mailing Address
First Line	:	2626 N 54TH ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53210-2327
Country	:	US
Telephone Number	:	414-614-9692
Fax Number	:

Provider Business Practice Location Address
First Line	:	1148 N 45TH ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53208-2733
Country	:	US
Telephone Number	:	414-614-9692
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MS. APRIL BOND
Credential	:
Telephone Number	:	414-614-9692

Provider Enumeration Date	:	07/09/2025
Last Update Date	:	12/05/2025

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Directions to “OPEN HEARTS ” Practice Location

Language	Start Address	Practice Location

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