Provider Demographics
NPI:1407494685
Name:NURSES AT HEART HOMECARE LLC
Entity Type:Organization
Organization Name:NURSES AT HEART HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LEQUITHA
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMMONS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-327-4514
Mailing Address - Street 1:5008 LENKER ST STE 202
Mailing Address - Street 2:
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17050-1925
Mailing Address - Country:US
Mailing Address - Phone:336-327-4514
Mailing Address - Fax:
Practice Address - Street 1:5008 LENKER ST STE 202
Practice Address - Street 2:
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17050-1925
Practice Address - Country:US
Practice Address - Phone:336-327-4514
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-18
Last Update Date:2019-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care