MEDICARE: TINY HEARTS REMEMBERED, INC.

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	374J00000X	Doula

General Provider Information

NPI Number	:	1710856497
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TINY HEARTS REMEMBERED, INC.

Provider Business Mailing Address
First Line	:	6020 W BANCROFT ST UNIT 350054
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43635-8002
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5444 DORR ST APT 4F
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43615-3644
Country	:	US
Telephone Number	:	419-407-6953
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DANIELLE REDDICK
Credential	:
Telephone Number	:	419-407-6953

Provider Enumeration Date	:	11/01/2025
Last Update Date	:	11/01/2025

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