NPIMap

Organization Active NPI

Hearts With Integrity LLC

Doing business as Hearts With Integrity

  • Home Health Agency
  • Hartford City, IN
National Provider Identifier
1326224965
Registry record updated Oct 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
08-006650-1 Issued in IN
Legal business name
HEARTS WITH INTEGRITY LLC
Doing business as
Hearts With Integrity
Practice address
603 E North Street
Hartford City, IN 47348-1806
Phone
(800) 217-7102
Fax
(888) 276-4795
NPI assigned
Jan 14, 2008
Last updated
Oct 4, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Carol J. Robles, LPN
Title
Administrator
Phone
(800) 217-7102

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 08-006650-1 IN Primary

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 1

IdentifierTypeStateIssuer
200900870AMedicaidIN

Other names 1

  • Hearts With Integrity Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080611000133 IN Part A Provider - Home Health Agency 8628149135 Practice locations: Hartford City, IN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1326224965. Details of each certification follow.

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
LLCProprietary
Enrollment address
603 East North Street
Hartford City, IN 47348-1806

Care Compare: Home health agency

Medicare Care Compare
Listed as
Hearts With IntegrityCCN 157599 · All quality measures
Overall star rating
1.5 of 5
Ownership
Proprietary
Certified
Jul 30, 2008
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy

National Provider Directory

National Provider Directory

Locations

1603 N Walnut St
Hartford City, IN 47348
Phone (800) 217-7102

603 E North St
Hartford City, IN 47348
Phone (765) 348-5328

Ownership & related parties

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Rydge Dunica Individual Corporate OfficerBoard Member Apr 1, 2024
Alana Michelle Light Individual 5% Or Greater Direct Ownership InterestRN, Administrator Jun 4, 2021 100%
Corporate OfficerOwner Jun 4, 1982 100%
Corporate DirectorAdministrator Jun 4, 2021 100%
W-2 Managing EmployeeAdministrator Jun 4, 2021 100%
Operational/Managerial ControlAlternate Clinical Supervisor Jun 4, 2021 100%
Rhett Light Individual Corporate OfficerBoard Member Jul 1, 2021
Diane Mahon Individual Corporate DirectorBoard Member Jul 1, 2021
Taylor Light Individual Corporate OfficerBoard Member Jul 1, 2021
Vicki Garrett Individual Corporate DirectorDirector Feb 7, 2022

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 8

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317686400000",
    "number": "1326224965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 E NORTH STREET",
            "city": "HARTFORD CITY",
            "state": "IN",
            "postal_code": "473481806",
            "telephone_number": "800-217-7102",
            "fax_number": "888-276-4795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 E NORTH STREET",
            "city": "HARTFORD CITY",
            "state": "IN",
            "postal_code": "473481806",
            "telephone_number": "800-217-7102",
            "fax_number": "888-276-4795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTS WITH INTEGRITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-14",
        "last_updated": "2011-10-04",
        "status": "A",
        "authorized_official_last_name": "ROBLES",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "800-217-7102",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IN",
            "license": "08-006650-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200900870A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hearts With Integrity",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hartford City, IN

Sources for this page

Verify at the official NPI Registry.