Is EARTHEART LLC active?

The California registry lists EARTHEART LLC with a status of suspended, as of the 2026-08-13 source snapshot. The status is republished verbatim from the Secretary of State record.

Where is EARTHEART LLC registered?

EARTHEART LLC is registered in California under company number 199814110012, first registered on May 21, 1998.

What type of company is EARTHEART LLC?

EARTHEART LLC is registered as an LLC with the California Secretary of State.

Does EARTHEART LLC have UCC liens?

No UCC financing statements name EARTHEART LLC as debtor in the indexed state registries.

Is EARTHEART LLC a federal contractor?

EARTHEART LLC appears in 1 federal recipient record (SAM.gov), indicating registration to receive federal awards. Obligation totals are not available for these records.

Does EARTHEART LLC hold any licenses?

5 license and credential records are matched to EARTHEART LLC. Each license, its type and issuing authority is listed in the Licenses section above.

What public records are linked to EARTHEART LLC?

6 public records are linked to EARTHEART LLC: 1 in Filings, 5 in Licenses & authorities — matched across federal, state and municipal registers by its registered legal names.

Where does this data come from?

Every fact on this profile is republished from official public registers — Secretary of State filings, UCC indexes and federal datasets. Each section names its issuing register and the snapshot Netstate last retrieved (latest: 2026-08-13).

EARTHEART LLC — California LLC No. 199814110012: Suspended, 1 filing

EARTHEART LLC is a California LLC, registered on May 21, 1998. It is based at 1060 GRANT ST #2C, BENICIA, CA, 94510, United States. The company is currently listed as suspended on the California register and is registered under company number 199814110012. Public records for the company include 1 SoS registration, 1 federal contract and 5 Medicare provider records. Every fact here is republished from an official public register and traces back to a primary source document.

Legal entity name	EARTHEART LLC
Principal address	1060 GRANT ST #2CBENICIA94510CAUnited States
Mailing address	1060 GRANT ST #2C, BENICIA, CA, 94510
Registration state	California
Status	Suspended
Registered	21 May 1998 (over 28 years ago)
Dissolved	2014-05-28
Entity type	LLC
Standing	not compliant
Company number	199814110012
Registered agent	RICHARD BORNHOLDT
Source registry	California Secretary of State · updated 10 August 2026
Public records	1 SoS registration

Contacts

PRO

Federal contractor	Yes · 1 federal recipient record (SAM)

State	Business name	Filed	Registered agent	Officers	Status
CaliforniaTHIS	EARTHEART LLC	1998-05-21	RICHARD BORNHOLDT	—	Suspended
Filing ID 199814110012 Jurisdiction Domestic · LLC Principal address 1060 GRANT ST #2C, BENICIA, CA, 94510, United States Registered agent RICHARD BORNHOLDT1060 GRANT STREET #2C, BENICIA, CA, 94510 Officers Not reported

State	License / ID	Type	Issued	Status
—	1720444813	Medicare / NPI provider	01/06/2016	Unknown
credential — deactivation date — entity type code 2 enumeration date 01/06/2016 first name — last name — last update date 11/29/2018 mailing address 1 4307 S LEONARD SPRINGS RD mailing address 2 — mailing city BLOOMINGTON mailing country US mailing postal code 474034078 mailing state IN middle name — npi 1720444813 organization name EARTHEART LLC practice address 1 4307 S LEONARD SPRINGS RD practice city BLOOMINGTON practice postal code 474034078 practice state IN reactivation date — taxonomy code 1 101YM0800X Source: NPI registry · document npi/
Indiana	1083057137	CLINICAL SOCIAL WORKER	—	Unknown
address id IN474034078BL4307XRDXX500 address line 1 4307 S LEONARD SPRINGS RD address line 2 — address line 2 suppressed — city BLOOMINGTON credential CSW facility name EARTHEART LLC first name HEATHER gender F graduation year 2000 group accepts assignment Y individual accepts assignment Y individual enrollment id I20130906000639 individual pac id 1557504784 last name HUDSON medical school OTHER middle name MARIE npi 1083057137 num organization members 4 organization pac id 5597061390 primary specialty CLINICAL SOCIAL WORKER secondary specialty 1 — secondary specialty 2 — secondary specialty 3 — secondary specialty 4 — secondary specialty all — state IN suffix — telehealth — telephone number 8123452176 zip code 474034078 Source: CMS medicare providers · document cms-medicare/
Indiana	1760788913	CLINICAL SOCIAL WORKER	—	Unknown
address id IN474034078BL4307XRDXX500 address line 1 4307 S LEONARD SPRINGS RD address line 2 — address line 2 suppressed — city BLOOMINGTON credential — facility name EARTHEART LLC first name BRET gender F graduation year 2010 group accepts assignment Y individual accepts assignment Y individual enrollment id I20140826001467 individual pac id 3375761828 last name EARTHEART medical school OTHER middle name D npi 1760788913 num organization members 4 organization pac id 5597061390 primary specialty CLINICAL SOCIAL WORKER secondary specialty 1 — secondary specialty 2 — secondary specialty 3 — secondary specialty 4 — secondary specialty all — state IN suffix — telehealth — telephone number 8123452176 zip code 474034078 Source: CMS medicare providers · document cms-medicare/
Indiana	1770165763	CLINICAL SOCIAL WORKER	—	Unknown
address id IN474034078BL4307XRDXX500 address line 1 4307 S LEONARD SPRINGS RD address line 2 — address line 2 suppressed — city BLOOMINGTON credential CSW facility name EARTHEART LLC first name AUDRA gender F graduation year 2002 group accepts assignment Y individual accepts assignment Y individual enrollment id I20210505001456 individual pac id 9335558220 last name MILLER medical school OTHER middle name NICOLE npi 1770165763 num organization members 4 organization pac id 5597061390 primary specialty CLINICAL SOCIAL WORKER secondary specialty 1 — secondary specialty 2 — secondary specialty 3 — secondary specialty 4 — secondary specialty all — state IN suffix — telehealth — telephone number 8123452176 zip code 474034078 Source: CMS medicare providers · document cms-medicare/
Indiana	1972882835	CLINICAL SOCIAL WORKER	—	Unknown
address id IN474034078BL4307XRDXX500 address line 1 4307 S LEONARD SPRINGS RD address line 2 — address line 2 suppressed — city BLOOMINGTON credential CSW facility name EARTHEART LLC first name CAITLIN gender F graduation year 2009 group accepts assignment Y individual accepts assignment Y individual enrollment id I20120518000004 individual pac id 8022271634 last name BRYTE medical school OTHER middle name E npi 1972882835 num organization members 4 organization pac id 5597061390 primary specialty CLINICAL SOCIAL WORKER secondary specialty 1 — secondary specialty 2 — secondary specialty 3 — secondary specialty 4 — secondary specialty all — state IN suffix — telehealth — telephone number 8123452176 zip code 474034078 Source: CMS medicare providers · document cms-medicare/

State

License / ID

Type

Issued

Status

—

1720444813

Medicare / NPI provider

01/06/2016

Unknown

credential

—

deactivation date

—

entity type code

enumeration date

01/06/2016

first name

—

last name

—

last update date

11/29/2018

mailing address 1

4307 S LEONARD SPRINGS RD

mailing address 2

—

mailing city

BLOOMINGTON

mailing country

mailing postal code

474034078

mailing state

middle name

—

npi

1720444813

organization name

EARTHEART LLC

practice address 1

4307 S LEONARD SPRINGS RD

practice city

BLOOMINGTON

practice postal code

474034078

practice state

reactivation date

—

taxonomy code 1

101YM0800X

Source: NPI registry · document npi/

Indiana

1083057137

CLINICAL SOCIAL WORKER

—

Unknown

address id

IN474034078BL4307XRDXX500

address line 1

4307 S LEONARD SPRINGS RD

address line 2

—

address line 2 suppressed

—

city

BLOOMINGTON

credential

CSW

facility name

EARTHEART LLC

first name

HEATHER

gender

graduation year

2000

group accepts assignment

individual accepts assignment

individual enrollment id

I20130906000639

individual pac id

1557504784

last name

HUDSON

medical school

OTHER

middle name

MARIE

npi

1083057137

num organization members

organization pac id

5597061390

primary specialty

CLINICAL SOCIAL WORKER

secondary specialty 1

—

secondary specialty 2

—

secondary specialty 3

—

secondary specialty 4

—

secondary specialty all

—

state

suffix

—

telehealth

—

telephone number

8123452176

zip code

474034078

Source: CMS medicare providers · document cms-medicare/

Indiana

1760788913

CLINICAL SOCIAL WORKER

—

Unknown

address id

IN474034078BL4307XRDXX500

address line 1

4307 S LEONARD SPRINGS RD

address line 2

—

address line 2 suppressed

—

city

BLOOMINGTON

credential

—

facility name

EARTHEART LLC

first name

BRET

gender

graduation year

2010

group accepts assignment

individual accepts assignment

individual enrollment id

I20140826001467

individual pac id

3375761828

last name

EARTHEART

medical school

OTHER

middle name

npi

1760788913

num organization members

organization pac id

5597061390

primary specialty

CLINICAL SOCIAL WORKER

secondary specialty 1

—

secondary specialty 2

—

secondary specialty 3

—

secondary specialty 4

—

secondary specialty all

—

state

suffix

—

telehealth

—

telephone number

8123452176

zip code

474034078

Source: CMS medicare providers · document cms-medicare/

Indiana

1770165763

CLINICAL SOCIAL WORKER

—

Unknown

address id

IN474034078BL4307XRDXX500

address line 1

4307 S LEONARD SPRINGS RD

address line 2

—

address line 2 suppressed

—

city

BLOOMINGTON

credential

CSW

facility name

EARTHEART LLC

first name

AUDRA

gender

graduation year

2002

group accepts assignment

individual accepts assignment

individual enrollment id

I20210505001456

individual pac id

9335558220

last name

MILLER

medical school

OTHER

middle name

NICOLE

npi

1770165763

num organization members

organization pac id

5597061390

primary specialty

CLINICAL SOCIAL WORKER

secondary specialty 1

—

secondary specialty 2

—

secondary specialty 3

—

secondary specialty 4

—

secondary specialty all

—

state

suffix

—

telehealth

—

telephone number

8123452176

zip code

474034078

Source: CMS medicare providers · document cms-medicare/

Indiana

1972882835

CLINICAL SOCIAL WORKER

—

Unknown

address id

IN474034078BL4307XRDXX500

address line 1

4307 S LEONARD SPRINGS RD

address line 2

—

address line 2 suppressed

—

city

BLOOMINGTON

credential

CSW

facility name

EARTHEART LLC

first name

CAITLIN

gender

graduation year

2009

group accepts assignment

individual accepts assignment

individual enrollment id

I20120518000004

individual pac id

8022271634

last name

BRYTE

medical school

OTHER

middle name

npi

1972882835

num organization members

organization pac id

5597061390

primary specialty

CLINICAL SOCIAL WORKER

secondary specialty 1

—

secondary specialty 2

—

secondary specialty 3

—

secondary specialty 4

—

secondary specialty all

—

state

suffix

—

telehealth

—

telephone number

8123452176

zip code

474034078

Source: CMS medicare providers · document cms-medicare/

EARTHEART LLC

Contacts

Financials

Industry

Secretary of State Filings

Liens

Permits

Licenses & authorities

Loans

H-1B

E-Verify

Copyrights

FEC

Customs

401(k)

SEC

Court cases

Frequently asked questions

Nearby in the California register