Provider Demographics
NPI:1588044788
Name:OUR HEALING HEART HOMECARE, LLC
Entity Type:Organization
Organization Name:OUR HEALING HEART HOMECARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN/SUPERVISING NURSE
Authorized Official - Prefix:MRS
Authorized Official - First Name:LIZA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:BARRERA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:361-209-5035
Mailing Address - Street 1:204 W SHAEFFER ST
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:TX
Mailing Address - Zip Code:78384-2432
Mailing Address - Country:US
Mailing Address - Phone:361-209-5035
Mailing Address - Fax:361-209-5027
Practice Address - Street 1:5003 COUNTY ROAD 110
Practice Address - Street 2:UNIT C
Practice Address - City:SAN DIEGO
Practice Address - State:TX
Practice Address - Zip Code:78384-2432
Practice Address - Country:US
Practice Address - Phone:361-209-5035
Practice Address - Fax:361-209-5027
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-02
Last Update Date:2015-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health