1558805630 NPI number — PERFECTING SAINTS HEART TO HEART MINISTRIES

Table of content: (NPI 1558805630)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1558805630 NPI number — PERFECTING SAINTS HEART TO HEART MINISTRIES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PERFECTING SAINTS HEART TO HEART MINISTRIES
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:
HEART TO HEART FAMILY SUPPORT CENTER
Provider Other Organization Name Type Code:
3
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:
1558805630
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/08/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1035 ROSEMARY BLVD
Provider Second Line Business Mailing Address:
SUITE A
Provider Business Mailing Address City Name:
AKRON
Provider Business Mailing Address State Name:
SUMMIT
Provider Business Mailing Address Postal Code:
44306
Provider Business Mailing Address Country Code:
UM
Provider Business Mailing Address Telephone Number:
330-760-3389
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1035 ROSEMARY BLVD
Provider Second Line Business Practice Location Address:
SUITE A
Provider Business Practice Location Address City Name:
AKRON
Provider Business Practice Location Address State Name:
SUMMIT
Provider Business Practice Location Address Postal Code:
44306
Provider Business Practice Location Address Country Code:
UM
Provider Business Practice Location Address Telephone Number:
330-760-3389
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/08/2016

Additional Information

Authorized Official

Authorized Official Last Name:
COLLIER-JONES
Authorized Official First Name:
OLLIE
Authorized Official Middle Name:
M
Authorized Official Title or Position:
CLINICAL SW/PRESIDENT
Authorized Official Telephone Number:
330-724-1950

Provider Taxonomy Codes

  • Taxonomy code: 251B00000X , with the licence number:  I3416 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 251S00000X , with the licence number: I3416 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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





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