Provider Demographics
NPI:1508519646
Name:SIXX HEARTS HOMECARE LLC
Entity Type:Organization
Organization Name:SIXX HEARTS HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:A
Authorized Official - Last Name:FORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-246-1511
Mailing Address - Street 1:3806 BENSALEM BLVD APT 41
Mailing Address - Street 2:
Mailing Address - City:BENSALEM
Mailing Address - State:PA
Mailing Address - Zip Code:19020-4720
Mailing Address - Country:US
Mailing Address - Phone:267-246-1511
Mailing Address - Fax:
Practice Address - Street 1:3806 BENSALEM BLVD APT 41
Practice Address - Street 2:
Practice Address - City:BENSALEM
Practice Address - State:PA
Practice Address - Zip Code:19020-4720
Practice Address - Country:US
Practice Address - Phone:267-246-1511
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-29
Last Update Date:2022-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health