Provider Demographics
NPI:1588179774
Name:BIG HEARTS HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:BIG HEARTS HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:TIZIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:MORA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-647-6787
Mailing Address - Street 1:519 LIGHTHOUSE DR
Mailing Address - Street 2:
Mailing Address - City:MANAHAWKIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08050-2142
Mailing Address - Country:US
Mailing Address - Phone:609-756-4883
Mailing Address - Fax:609-756-4883
Practice Address - Street 1:519 LIGHTHOUSE DR
Practice Address - Street 2:
Practice Address - City:MANAHAWKIN
Practice Address - State:NJ
Practice Address - Zip Code:08050-2142
Practice Address - Country:US
Practice Address - Phone:609-756-4883
Practice Address - Fax:609-756-4883
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-09
Last Update Date:2018-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health