Provider Demographics
NPI:1407114267
Name:HEART TO HEARTS CARE
Entity Type:Organization
Organization Name:HEART TO HEARTS CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:EMMANUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:KHUMALO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-525-0126
Mailing Address - Street 1:12971 MORENO BEACH DR
Mailing Address - Street 2:10208
Mailing Address - City:MORENO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92555-4423
Mailing Address - Country:US
Mailing Address - Phone:951-525-0126
Mailing Address - Fax:951-567-7739
Practice Address - Street 1:12971 MORENO BEACH DR
Practice Address - Street 2:10208
Practice Address - City:MORENO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92555-4423
Practice Address - Country:US
Practice Address - Phone:951-525-0126
Practice Address - Fax:951-567-7739
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-30
Last Update Date:2012-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAP12-0217253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care