Provider Demographics
NPI:1669636684
Name:HEARTWELL HOME HEALTH CARE CORP.
Entity Type:Organization
Organization Name:HEARTWELL HOME HEALTH CARE CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO, ALTERNATIVE ADMINISTRATOR, CO-
Authorized Official - Prefix:
Authorized Official - First Name:CLEMENTE
Authorized Official - Middle Name:
Authorized Official - Last Name:SIERRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-591-7898
Mailing Address - Street 1:2500 NW 79TH AVE STE 116
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33122-1075
Mailing Address - Country:US
Mailing Address - Phone:305-591-7898
Mailing Address - Fax:
Practice Address - Street 1:2500 NW 79TH AVE STE 116
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33122-1075
Practice Address - Country:US
Practice Address - Phone:305-591-7898
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-18
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Single Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty