A Time For Heart
Home Health Aide in Rockford, IL. Organization (NPI-2).
NPI number1912728197
StatusActive
Last updated in NPPESOct 29, 2024
Details
- NPI
- 1912728197
- Entity type
- Organization (NPI-2)
- Legal business name
- A Time For Heart
- Organization subpart
- No
- Enumeration date
- Oct 21, 2024
- Certification date
- Oct 29, 2024
- Last updated
- Oct 29, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | – | – | Yes |
| 372600000X | Adult Companion | – | – | |
| 374700000X | Technician | – | – | |
| 3747A0650X | Technician, Attendant Care Provider | – | – | |
| 3747P1801X | Technician, Personal Care Attendant | – | – | |
| 376J00000X | Homemaker | – | – |
Practice location
3013 15th StC/O Shannon Buetsch
Rockford, IL 61109-1313
Phone 815-581-8633
Mailing address
3013 15th StC/O Shannon Buetsch
Rockford, IL 61109-1313
Phone 815-581-8633
Authorized official
Shannon Buetsch
Owner
8155188633
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