Provider Demographics
NPI:1508488727
Name:HEALING HEARTS HOME HEALTH AND HOSPICE LLC
Entity Type:Organization
Organization Name:HEALING HEARTS HOME HEALTH AND HOSPICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:DAWN
Authorized Official - Last Name:OVERLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-217-2955
Mailing Address - Street 1:1400 N PORTER AVE STE 110
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73071-6604
Mailing Address - Country:US
Mailing Address - Phone:405-481-6254
Mailing Address - Fax:844-272-8001
Practice Address - Street 1:1400 N PORTER AVE STE 110
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73071-6604
Practice Address - Country:US
Practice Address - Phone:405-481-6254
Practice Address - Fax:844-272-8001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-11
Last Update Date:2020-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health