# INTERLOCKING HEARTS HEALTHCARE - PRIMARY AND EXPRESS CARE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** INTERLOCKING HEARTS HEALTHCARE - PRIMARY AND EXPRESS CARE
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1982360483
- **Legal business name:** INTERLOCKING HEARTS HEALTHCARE - PRIMARY AND EXPRESS CARE
- **Authorized official:** OMEGA SAVAGE APRN (OWNER/PROVIDER)
- **Authorized official phone:** (502) 821-0652

## Contact information

- **Practice address:** 3438 TAYLOR BLVD, LOUISVILLE, KY 40215-2648
- **Practice address phone:** (502) 365-2340
- **Practice address fax:** (502) 365-3063
- **Mailing address:** 3438 TAYLOR BLVD, LOUISVILLE, KY 40215-2648
- **Mailing address phone:** (502) 365-2340
- **Mailing address fax:** (502) 365-3063

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 11/10/2021
- **Last updated:** 11/10/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7100595360 | — | KY |
| 01 | — | K297070 | MEDICARE | KY |