Provider Demographics
NPI:1407329543
Name:HEART HARMONY HOME HEALTH AND SERVICES
Entity Type:Organization
Organization Name:HEART HARMONY HOME HEALTH AND SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINSTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:FRANCES
Authorized Official - Middle Name:
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-215-6142
Mailing Address - Street 1:505 CUMBERLAND STREET SUITE 2
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:VA
Mailing Address - Zip Code:23707-1218
Mailing Address - Country:US
Mailing Address - Phone:757-970-3955
Mailing Address - Fax:
Practice Address - Street 1:505 CUMBERLAND STREET
Practice Address - Street 2:SUITE 2
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23707
Practice Address - Country:US
Practice Address - Phone:757-970-3955
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-10
Last Update Date:2020-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1407329543Medicaid
VA=========Medicaid