Provider Demographics
NPI:1467737122
Name:HANDS OF HEART, LLC
Entity Type:Organization
Organization Name:HANDS OF HEART, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHABREKIA
Authorized Official - Middle Name:
Authorized Official - Last Name:NESBITT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-319-8870
Mailing Address - Street 1:3845 VISCOUNT AVE
Mailing Address - Street 2:SUITE 308
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38118-6057
Mailing Address - Country:US
Mailing Address - Phone:901-319-8870
Mailing Address - Fax:
Practice Address - Street 1:3845 VISCOUNT AVE
Practice Address - Street 2:SUITE 308
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38118-6057
Practice Address - Country:US
Practice Address - Phone:901-319-8870
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-13
Last Update Date:2011-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health