Provider Demographics
NPI:1427583665
Name:HEART 2 HEART HOME HEALTH CARE
Entity Type:Organization
Organization Name:HEART 2 HEART HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TONYA
Authorized Official - Middle Name:ELAINE
Authorized Official - Last Name:MANSFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-949-8670
Mailing Address - Street 1:759 LONGFORD LOOP
Mailing Address - Street 2:
Mailing Address - City:APOPKA
Mailing Address - State:FL
Mailing Address - Zip Code:32703-8336
Mailing Address - Country:US
Mailing Address - Phone:407-949-8670
Mailing Address - Fax:407-464-1059
Practice Address - Street 1:759 LONGFORD LOOP
Practice Address - Street 2:
Practice Address - City:APOPKA
Practice Address - State:FL
Practice Address - Zip Code:32703-8336
Practice Address - Country:US
Practice Address - Phone:407-949-8670
Practice Address - Fax:407-464-1059
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-25
Last Update Date:2017-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL010338500Medicaid