Provider Demographics
NPI:1639856172
Name:HEART OF HOKE, LLC
Entity Type:Organization
Organization Name:HEART OF HOKE, LLC
Other - Org Name:HEART OF HOKE HOME HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER / CEO
Authorized Official - Prefix:
Authorized Official - First Name:JACARA
Authorized Official - Middle Name:V
Authorized Official - Last Name:MCDONALD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-613-7447
Mailing Address - Street 1:2304 WINGATE RD UNIT 48752
Mailing Address - Street 2:
Mailing Address - City:CUMBERLAND
Mailing Address - State:NC
Mailing Address - Zip Code:28331-9019
Mailing Address - Country:US
Mailing Address - Phone:910-613-7447
Mailing Address - Fax:910-310-4055
Practice Address - Street 1:3907 HARDEN RD
Practice Address - Street 2:
Practice Address - City:HOPE MILLS
Practice Address - State:NC
Practice Address - Zip Code:28348-8342
Practice Address - Country:US
Practice Address - Phone:910-613-7447
Practice Address - Fax:910-310-4055
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-28
Last Update Date:2023-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty