Provider Demographics
NPI:1619759289
Name:TRAVELING HEARTS LLC
Entity Type:Organization
Organization Name:TRAVELING HEARTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINSTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARVINA
Authorized Official - Middle Name:
Authorized Official - Last Name:PIGFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-975-3686
Mailing Address - Street 1:1034 W 24TH ST
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23517-1013
Mailing Address - Country:US
Mailing Address - Phone:757-975-3686
Mailing Address - Fax:757-227-4332
Practice Address - Street 1:1034 W 24TH ST
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23517-1013
Practice Address - Country:US
Practice Address - Phone:757-975-3686
Practice Address - Fax:757-227-4332
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-18
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No385H00000XRespite Care FacilityRespite Care