Provider Demographics
NPI:1598283418
Name:2 HEART TO HEART GROUP HOME, INC
Entity Type:Organization
Organization Name:2 HEART TO HEART GROUP HOME, INC
Other - Org Name:2 HEART TO HEART GROUP HOME, INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DOLDIE
Authorized Official - Middle Name:
Authorized Official - Last Name:DOMOND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-952-5223
Mailing Address - Street 1:6617 KRISTIN CT
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32818-5951
Mailing Address - Country:US
Mailing Address - Phone:407-952-5223
Mailing Address - Fax:
Practice Address - Street 1:6617 KRISTIN CT
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32818
Practice Address - Country:US
Practice Address - Phone:407-952-5223
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-30
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL232573376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty