Provider Demographics
NPI:1518106699
Name:HEART 2 HEART HEALTHCARE SERVICES
Entity Type:Organization
Organization Name:HEART 2 HEART HEALTHCARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KRISTIE
Authorized Official - Middle Name:NICHELLE
Authorized Official - Last Name:SEPTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-678-1026
Mailing Address - Street 1:5260 GROOM RD
Mailing Address - Street 2:H
Mailing Address - City:BAKER
Mailing Address - State:LA
Mailing Address - Zip Code:70714-3147
Mailing Address - Country:US
Mailing Address - Phone:225-771-8632
Mailing Address - Fax:225-771-8642
Practice Address - Street 1:5260 GROOM RD
Practice Address - Street 2:H
Practice Address - City:BAKER
Practice Address - State:LA
Practice Address - Zip Code:70714-3147
Practice Address - Country:US
Practice Address - Phone:225-771-8632
Practice Address - Fax:225-771-8642
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-12
Last Update Date:2009-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA15174253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care