Provider Demographics
NPI:1558639013
Name:HEARTFELT HOME HEALTH II
Entity Type:Organization
Organization Name:HEARTFELT HOME HEALTH II
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE VICE PRESIDENET
Authorized Official - Prefix:
Authorized Official - First Name:MELBA
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-366-1814
Mailing Address - Street 1:PO BOX 8190
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19714-8190
Mailing Address - Country:US
Mailing Address - Phone:302-366-1814
Mailing Address - Fax:302-366-1404
Practice Address - Street 1:698 OLD BALTIMORE PIKE
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19702-1312
Practice Address - Country:US
Practice Address - Phone:302-366-1814
Practice Address - Fax:302-366-1404
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-12
Last Update Date:2011-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE2011121239251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health