Provider Demographics
NPI:1407446537
Name:HEART 2 HEART CARE ASSISTED LIVING LLC
Entity Type:Organization
Organization Name:HEART 2 HEART CARE ASSISTED LIVING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:
Authorized Official - Last Name:JASMINE
Authorized Official - Suffix:
Authorized Official - Credentials:BSN/RN
Authorized Official - Phone:281-570-8871
Mailing Address - Street 1:4410 LONG CLIMB CYN
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77396-4406
Mailing Address - Country:US
Mailing Address - Phone:281-570-8871
Mailing Address - Fax:
Practice Address - Street 1:4410 LONG CLIMB CYN
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77396-4406
Practice Address - Country:US
Practice Address - Phone:281-570-8871
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-22
Last Update Date:2021-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility