Provider Demographics
NPI:1295405959
Name:HEARTS HEAL HOME HEALTH AGENCY INC
Entity Type:Organization
Organization Name:HEARTS HEAL HOME HEALTH AGENCY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LUCINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:CLAIREVOYANT
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:561-418-4860
Mailing Address - Street 1:710 BELVEDERE RD
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33405-1108
Mailing Address - Country:US
Mailing Address - Phone:561-891-8768
Mailing Address - Fax:
Practice Address - Street 1:2016 LITTLE TORCH ST
Practice Address - Street 2:
Practice Address - City:RIVIERA BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407-1108
Practice Address - Country:US
Practice Address - Phone:561-418-4860
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-15
Last Update Date:2022-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Single Specialty