Provider Demographics
NPI:1497471916
Name:SENSATIONAL HEARTS HOME CARE AGENCY LLC
Entity Type:Organization
Organization Name:SENSATIONAL HEARTS HOME CARE AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NATASJA
Authorized Official - Middle Name:
Authorized Official - Last Name:FORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-415-4002
Mailing Address - Street 1:34 W MAIN ST STE E
Mailing Address - Street 2:
Mailing Address - City:HAMLET
Mailing Address - State:NC
Mailing Address - Zip Code:28345-3636
Mailing Address - Country:US
Mailing Address - Phone:910-415-4002
Mailing Address - Fax:
Practice Address - Street 1:2307 W CONE BLVD STE 110C
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27408-4063
Practice Address - Country:US
Practice Address - Phone:910-415-4002
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-17
Last Update Date:2022-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care