Provider Demographics
NPI:1346825650
Name:H.E.A.R.T. 2 H.E.A.R.T., INC.
Entity Type:Organization
Organization Name:H.E.A.R.T. 2 H.E.A.R.T., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINSTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARCIE
Authorized Official - Middle Name:D
Authorized Official - Last Name:BARBER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-707-9707
Mailing Address - Street 1:1 AVENUE OF THE PALMS
Mailing Address - Street 2:THIRD FLOOR, SUITE 307
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94130
Mailing Address - Country:US
Mailing Address - Phone:415-772-1978
Mailing Address - Fax:415-772-1979
Practice Address - Street 1:333 PEORIA ST
Practice Address - Street 2:
Practice Address - City:DALY CITY
Practice Address - State:CA
Practice Address - Zip Code:94014-1122
Practice Address - Country:US
Practice Address - Phone:415-772-1978
Practice Address - Fax:415-772-1979
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-17
Last Update Date:2023-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness
No251S00000XAgenciesCommunity/Behavioral Health
No320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities