Provider Demographics
NPI:1497263651
Name:HA ENTERPRISE, LLC
Entity Type:Organization
Organization Name:HA ENTERPRISE, LLC
Other - Org Name:ALL HEART HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:T
Authorized Official - Last Name:HANNA
Authorized Official - Suffix:
Authorized Official - Credentials:ESQ
Authorized Official - Phone:585-545-5082
Mailing Address - Street 1:82 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:NY
Mailing Address - Zip Code:14580-3243
Mailing Address - Country:US
Mailing Address - Phone:585-236-1188
Mailing Address - Fax:
Practice Address - Street 1:742 CLINTON AVE S
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14620-1402
Practice Address - Country:US
Practice Address - Phone:585-545-5082
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-22
Last Update Date:2018-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health