Provider Demographics
NPI:1104359116
Name:HEARTS TO HEAL HOME CARE, LLC
Entity Type:Organization
Organization Name:HEARTS TO HEAL HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ROXANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:BURNETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-340-3777
Mailing Address - Street 1:16781 CHAGRIN BLVD
Mailing Address - Street 2:SUITE 175
Mailing Address - City:SHAKER HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44120-3721
Mailing Address - Country:US
Mailing Address - Phone:440-340-3777
Mailing Address - Fax:
Practice Address - Street 1:16781 CHAGRIN BLVD
Practice Address - Street 2:SUITE 175
Practice Address - City:SHAKER HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44120-3721
Practice Address - Country:US
Practice Address - Phone:440-340-3777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-06
Last Update Date:2017-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health