1982948089 NPI number — HEALTHONE HEART CARE LLC

Table of content: (NPI 1982948089)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1982948089 NPI number — HEALTHONE HEART CARE LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HEALTHONE HEART CARE LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1982948089
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/02/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2000 HEALTH PARK DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BRENTWOOD
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
37027-4692
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
615-372-5426
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1444 S POTOMAC ST STE 300
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
AURORA
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80012-4510
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
303-750-0822
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/15/2012

Additional Information

Authorized Official

Authorized Official Last Name:
REBOK
Authorized Official First Name:
JOHN
Authorized Official Middle Name:
Authorized Official Title or Position:
VP
Authorized Official Telephone Number:
615-372-5004

Provider Taxonomy Codes

  • Taxonomy code: 207RC0000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 261Q00000X , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 10026280600 , issued by the state of ( WY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 10026281200 , issued by the state of ( WY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 57806772 , issued by the state of ( CO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 100236283100 , issued by the state of ( WY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1982948089 , issued by the state of ( WY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 26687551 , issued by the state of ( CO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 10026281000 , issued by the state of ( WY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 10026282500 , issued by the state of ( NE ) . This identifiers is of the category "MEDICAID".
  • Identifier: 201069590A , issued by the state of ( KS ) . This identifiers is of the category "MEDICAID".
  • Identifier: 40537871 , issued by the state of ( CO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 67650589 , issued by the state of ( CO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 13100289 , issued by the state of ( CO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 70787077 , issued by the state of ( CO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 00159271 , issued by the state of ( CO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 10026280700 , issued by the state of ( WY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 10026280800 , issued by the state of ( WY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 19778759 , issued by the state of ( CO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1982948089 , issued by the state of ( NE ) . This identifiers is of the category "MEDICAID".
  • Identifier: 30980763 , issued by the state of ( CO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 62406272 , issued by the state of ( CO ) . This identifiers is of the category "MEDICAID".




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