Provider Demographics
NPI:1609418789
Name:HEALING HEARTS HOME CARE
Entity Type:Organization
Organization Name:HEALING HEARTS HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN
Authorized Official - Prefix:
Authorized Official - First Name:SHANTAISA
Authorized Official - Middle Name:
Authorized Official - Last Name:WARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-565-8033
Mailing Address - Street 1:3280 CHARLES BLVD STE 308
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27858-9277
Mailing Address - Country:US
Mailing Address - Phone:252-565-8033
Mailing Address - Fax:252-565-8034
Practice Address - Street 1:3280 CHARLES BLVD STE 308
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27858-9277
Practice Address - Country:US
Practice Address - Phone:252-565-8033
Practice Address - Fax:252-565-8034
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-10
Last Update Date:2021-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care