Provider Demographics
NPI:1467921569
Name:HEART TO HEART LLC
Entity Type:Organization
Organization Name:HEART TO HEART LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:
Authorized Official - Last Name:MCLEOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-422-6647
Mailing Address - Street 1:9378 ARLIGNTON EXPRESSWAY
Mailing Address - Street 2:STE 218
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32225
Mailing Address - Country:US
Mailing Address - Phone:904-422-6647
Mailing Address - Fax:904-551-7421
Practice Address - Street 1:9378 ARLIGNTON EXPRESSWAY
Practice Address - Street 2:STE 218
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32225
Practice Address - Country:US
Practice Address - Phone:904-422-6647
Practice Address - Fax:904-551-7421
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-19
Last Update Date:2018-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility