Provider Demographics
NPI:1093878944
Name:WARM HEARTS HOME HEALTH CARE
Entity Type:Organization
Organization Name:WARM HEARTS HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAVONNE
Authorized Official - Middle Name:
Authorized Official - Last Name:MITCHELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-455-2727
Mailing Address - Street 1:1910 DERITA RD STE 407
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28027-3355
Mailing Address - Country:US
Mailing Address - Phone:704-455-2727
Mailing Address - Fax:704-766-0578
Practice Address - Street 1:1910 DERITA RD STE 407
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28027-3355
Practice Address - Country:US
Practice Address - Phone:704-455-2727
Practice Address - Fax:704-766-0578
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC3565251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health