Provider Demographics
NPI:1326405374
Name:HEARTS & HANDS OF CA LLC
Entity Type:Organization
Organization Name:HEARTS & HANDS OF CA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:BERGMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-241-3542
Mailing Address - Street 1:PO BOX 1565
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85244-1565
Mailing Address - Country:US
Mailing Address - Phone:480-241-3542
Mailing Address - Fax:480-888-9601
Practice Address - Street 1:784 NORTHRIDGE MALL
Practice Address - Street 2:SUITE #299
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93906-2015
Practice Address - Country:US
Practice Address - Phone:831-261-1101
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-21
Last Update Date:2016-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA64846343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)