Provider Demographics
NPI:1376588939
Name:HEART TO HEART HOSPICE, INC.
Entity Type:Organization
Organization Name:HEART TO HEART HOSPICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:HICKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-854-6185
Mailing Address - Street 1:PO BOX 875
Mailing Address - Street 2:278 HWY. 366 EAST
Mailing Address - City:BELMONT
Mailing Address - State:MS
Mailing Address - Zip Code:38827-0875
Mailing Address - Country:US
Mailing Address - Phone:662-454-3632
Mailing Address - Fax:662-454-0281
Practice Address - Street 1:278 HIGHWAY 366
Practice Address - Street 2:
Practice Address - City:BELMONT
Practice Address - State:MS
Practice Address - Zip Code:38827-7751
Practice Address - Country:US
Practice Address - Phone:662-454-3632
Practice Address - Fax:662-454-0281
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS065251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00770496Medicaid
MS00770496Medicaid