Provider Demographics
NPI:1174310346
Name:CONCERNED HEARTS
Entity type:Organization
Organization Name:CONCERNED HEARTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAIZJA
Authorized Official - Middle Name:
Authorized Official - Last Name:GATER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-717-2970
Mailing Address - Street 1:778 TOULOUSE
Mailing Address - Street 2:
Mailing Address - City:BATTLE CREEK
Mailing Address - State:MI
Mailing Address - Zip Code:49017-3200
Mailing Address - Country:US
Mailing Address - Phone:269-447-4017
Mailing Address - Fax:
Practice Address - Street 1:778 TOULOUSE
Practice Address - Street 2:
Practice Address - City:BATTLE CREEK
Practice Address - State:MI
Practice Address - Zip Code:49017-3200
Practice Address - Country:US
Practice Address - Phone:313-717-2970
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-22
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health