Provider Demographics
NPI:1376136085
Name:SMILING HEART HOMECARE LLC
Entity Type:Organization
Organization Name:SMILING HEART HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:HETAL
Authorized Official - Middle Name:
Authorized Official - Last Name:PANDYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:571-313-9172
Mailing Address - Street 1:3158 BROOKSIDE DR
Mailing Address - Street 2:
Mailing Address - City:FURLONG
Mailing Address - State:PA
Mailing Address - Zip Code:18925-1287
Mailing Address - Country:US
Mailing Address - Phone:571-313-9172
Mailing Address - Fax:
Practice Address - Street 1:3158 BROOKSIDE DR
Practice Address - Street 2:
Practice Address - City:FURLONG
Practice Address - State:PA
Practice Address - Zip Code:18925-1287
Practice Address - Country:US
Practice Address - Phone:571-313-9172
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-12
Last Update Date:2021-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health