Provider Demographics
NPI:1568617116
Name:PATRICIA V HEARN
Entity Type:Organization
Organization Name:PATRICIA V HEARN
Other - Org Name:TOUCHED BY AN ANGEL DIRECT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:V
Authorized Official - Last Name:HEARN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-537-2494
Mailing Address - Street 1:5929 OAKHERST PL
Mailing Address - Street 2:UNIT 2ND FLOOR
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63112-2202
Mailing Address - Country:US
Mailing Address - Phone:314-537-2494
Mailing Address - Fax:
Practice Address - Street 1:5929 OAKHERST PL
Practice Address - Street 2:UNIT 2ND FLOOR
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63112-2202
Practice Address - Country:US
Practice Address - Phone:314-537-2494
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-24
Last Update Date:2008-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health