Organization
HEARTWISE IDD SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SARIAH HOPKINS CHC (COMPLIANCE OFFICER)
(402) 266-6667
Entity
Organization
Contact information
Practice address
2806 S 143RD PLZ, OMAHA, NE 68144-5611
(402) 266-6667
Mailing address
4403 15TH AVE # 499, BROOKLYN, NY 11219-1604
(718) 500-3850
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
03/31/2025
Last updated
04/03/2025
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