Provider Demographics
NPI:1528413077
Name:SHARING HEARTS HOME HEALTHCARE LLC
Entity Type:Organization
Organization Name:SHARING HEARTS HOME HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:L
Authorized Official - Last Name:NORTHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-455-3248
Mailing Address - Street 1:21 COMMERCE PKWY
Mailing Address - Street 2:103
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22406-1037
Mailing Address - Country:US
Mailing Address - Phone:540-455-3243
Mailing Address - Fax:
Practice Address - Street 1:21 COMMERCE PKWY
Practice Address - Street 2:103
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22406-1037
Practice Address - Country:US
Practice Address - Phone:540-455-3243
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-03
Last Update Date:2016-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health