Provider Demographics
NPI:1942098009
Name:FIFTH AND HEART HOMECARE
Entity type:Organization
Organization Name:FIFTH AND HEART HOMECARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:MCKENZIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MISHLER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:440-292-7992
Mailing Address - Street 1:1188 BELL RD STE 105
Mailing Address - Street 2:
Mailing Address - City:CHAGRIN FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44022-6101
Mailing Address - Country:US
Mailing Address - Phone:216-353-2346
Mailing Address - Fax:
Practice Address - Street 1:1188 BELL RD STE 105
Practice Address - Street 2:
Practice Address - City:CHAGRIN FALLS
Practice Address - State:OH
Practice Address - Zip Code:44022-6101
Practice Address - Country:US
Practice Address - Phone:216-353-2346
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-29
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No174200000XOther Service ProvidersMeals
No251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No385H00000XRespite Care FacilityRespite Care