Provider Demographics
NPI:1134694730
Name:JOYFUL HEART HOUSE CALLS, LLC
Entity Type:Organization
Organization Name:JOYFUL HEART HOUSE CALLS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VIRGINIA (JENNI)
Authorized Official - Middle Name:
Authorized Official - Last Name:GALLAGHER
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:907-690-1901
Mailing Address - Street 1:2903 CAPE HORN CIR
Mailing Address - Street 2:
Mailing Address - City:PLATTSMOUTH
Mailing Address - State:NE
Mailing Address - Zip Code:68048-7159
Mailing Address - Country:US
Mailing Address - Phone:907-690-1901
Mailing Address - Fax:
Practice Address - Street 1:2903 CAPE HORN CIR
Practice Address - Street 2:
Practice Address - City:PLATTSMOUTH
Practice Address - State:NE
Practice Address - Zip Code:68048-7159
Practice Address - Country:US
Practice Address - Phone:907-690-1901
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-10
Last Update Date:2018-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center