Mended Heart LLC

Primary specialty

Prevention ProfessionalTaxonomy code 405300000X

Legal business name

MENDED HEART LLC

Practice address

17760 S Meadowpark Dr
Walton Hills, OH 44146-5153

Phone

(216) 543-5632

NPI assigned

Apr 20, 2019

Organization subpart

No

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

Authorized official

Name

Keisha Pledger, MSW LSW

Title

Owner

Phone

(216) 543-5632

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Keisha Shaunte Rivers, MSW, LSW

  • Social Worker
  • Woodmere, OH
  • NPI 1073812020
  NPD

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

{
    "created_epoch": "1555718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692489600000",
    "number": "1760045132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17760 S MEADOWPARK DR",
            "city": "WALTON HILLS",
            "state": "OH",
            "postal_code": "441465153",
            "telephone_number": "216-543-5632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17760 S MEADOWPARK DR",
            "city": "WALTON HILLS",
            "state": "OH",
            "postal_code": "441465153",
            "telephone_number": "216-543-5632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENDED HEART LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-20",
        "last_updated": "2023-08-20",
        "certification_date": "2023-08-20",
        "status": "A",
        "authorized_official_last_name": "PLEDGER",
        "authorized_official_first_name": "KEISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-543-5632",
        "authorized_official_credential": "MSW LSW"
    },
    "taxonomies": [
        {
            "code": "405300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Prevention Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prevention Professional in Walton Hills, OH
• Providers in Walton Hills, OH by specialty
• Prevention Professional in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.