MEDICARE: HEARTFELT COMMITMENT LLC

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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1437004835
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEARTFELT COMMITMENT LLC

Provider Business Mailing Address
First Line	:	5533 SOUTHWYCK BLVD STE 101
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43614-1505
Country	:	US
Telephone Number	:	419-671-1617
Fax Number	:	419-671-1618

Provider Business Practice Location Address
First Line	:	1712 MACOMBER ST
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43606-4455
Country	:	US
Telephone Number	:	725-289-5475
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	TAJAIYAH DAVISON
Credential	:
Telephone Number	:	725-289-5475

Provider Enumeration Date	:	03/02/2026
Last Update Date	:	03/02/2026

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