Provider Demographics
NPI:1639367832
Name:HEART TO HEART IN-HOME CARE INC.
Entity Type:Organization
Organization Name:HEART TO HEART IN-HOME CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELISA
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:PROVANCE
Authorized Official - Suffix:
Authorized Official - Credentials:CERTIFIED MANAGER
Authorized Official - Phone:573-573-2275
Mailing Address - Street 1:211 BUSINESS HH
Mailing Address - Street 2:
Mailing Address - City:PIEDMONT
Mailing Address - State:MO
Mailing Address - Zip Code:63957-9410
Mailing Address - Country:US
Mailing Address - Phone:573-223-2875
Mailing Address - Fax:573-223-2867
Practice Address - Street 1:211 BUSINESS HH
Practice Address - Street 2:
Practice Address - City:PIEDMONT
Practice Address - State:MO
Practice Address - Zip Code:63957-9410
Practice Address - Country:US
Practice Address - Phone:573-223-2875
Practice Address - Fax:573-223-2867
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-12
Last Update Date:2022-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO0009255OtherPROVIDER