Organization
HEARTS CPR, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LUKISHA N KING (EXECUTIVE DIRECTOR)
(571) 348-2356
Entity
Organization
Contact information
Practice address
2923 CASSIDY PL, WALDORF, MD 20601-3767
(571) 348-2356
(866) 536-2263
Mailing address
2923 CASSIDY PL, WALDORF, MD 20601-3767
(571) 348-2356
(866) 536-2263
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
FL
253Z00000X
In Home Supportive Care Agency
—
FL
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
FL
3747P1801X
Personal Care Attendant
—
FL
385HR2055X
Child Mental Illness Respite Care
—
FL
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
FL
385HR2065X
Child Physical Disabilities Respite Care
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021433100
—
FL
Enumeration date
08/10/2018
Last updated
06/21/2026
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