Hearts With Integrity LLC
Organization Active NPI Home Health Agency · Hartford City, IN
NPI 1326224965 · NPPES record last updated Oct 4, 2011
Key facts
- NPI
- 1326224965
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- 08-006650-1 (IN)
- Legal business name
- HEARTS WITH INTEGRITY LLC
- Practice address
- 603 E North Street
Hartford City, IN 47348-1806 - Phone
- (800) 217-7102
- Fax
- (888) 276-4795
- NPI assigned
- Jan 14, 2008
- Organization subpart
- No
Authorized official
- Name
- Mrs. Carol J. Robles, LPN
- Title
- Administrator
- Phone
- (800) 217-7102
Practitioners 1
-
Chang Woon Kang, M.D.
Affiliated clinicians 8
-
Lori J Skidmore, M.D.
-
Thomas D Stewart, MD
-
Robert P Suer, M.D.
Medicare Care Compare: Home health agency
- Listed as
- Hearts With Integrity
- Overall star rating
- ★★☆☆☆ 1.5 of 5
- Ownership
- Proprietary
- Certified
- Jul 30, 2008
- Medicare certification status
- Active
- Services
- Nursing, Home health aide, Physical therapy
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Home health agency certification: CCN 157599
- Legal name
- HEARTS WITH INTEGRITY LLC
- Doing business as
- HEARTS WITH INTEGRITY
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jul 30, 2008
- Last certification
- Sep 20, 2021
- Ownership / control type
- Proprietary
- Organization structure
- LLC · Proprietary
- Enrollment address
- 603 East North Street
Hartford City, IN 47348-1806
All disclosed owners & managing parties 6
| Name | Role | Since | Share |
|---|---|---|---|
| Rydge Dunica |
Corporate Officer |
Apr 1, 2024 | |
| Alana Michelle Light |
5% Or Greater Direct Ownership Interest |
Jun 4, 2021 | 100% |
| Corporate Officer |
Jun 4, 1982 | 100% | |
| Corporate Director |
Jun 4, 2021 | 100% | |
| W-2 Managing Employee |
Jun 4, 2021 | 100% | |
| Operational/Managerial Control |
Jun 4, 2021 | 100% | |
| Rhett Light |
Corporate Officer |
Jul 1, 2021 | |
| Diane Mahon |
Corporate Director |
Jul 1, 2021 | |
| Taylor Light |
Corporate Officer |
Jul 1, 2021 | |
| Vicki Garrett |
Corporate Director |
Feb 7, 2022 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080611000133 | IN | Part a Provider - Home Health Agency | 8628149135 | Practice locations: Hartford City, IN |
National Provider Directory
Locations
603 E North St
Hartford City, IN 47348
Phone (765) 348-5328
1603 N Walnut St
Hartford City, IN 47348
Phone (800) 217-7102
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 08-006650-1 | IN | Yes |
Addresses
Primary practice location
603 E North Street
Hartford City, IN 47348-1806
Mailing address
603 E North Street
Hartford City, IN 47348-1806
Phone (800) 217-7102
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200900870A | Medicaid | IN |
Other names
- Hearts With Integrity
Other providers in Hartford City, IN
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- Mark E. Goodman
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- Nicholas Tilly Haun
- Hearing Aid Outlet
- Jessica Nicole Hoffman
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- Sarah Howard
- Haley Howell
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All providers in Hartford City, IN · Home Health Agency in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 4, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.