Provider Demographics
NPI:1679217723
Name:HEARTS UNLIMITED IN-HOME SERVICES, LLC
Entity Type:Organization
Organization Name:HEARTS UNLIMITED IN-HOME SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LATRICIA
Authorized Official - Middle Name:CLARK
Authorized Official - Last Name:LETSINGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-598-4787
Mailing Address - Street 1:5520 GREENWICH RD STE 204B
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23462-6541
Mailing Address - Country:US
Mailing Address - Phone:757-598-4787
Mailing Address - Fax:866-835-4610
Practice Address - Street 1:5520 GREENWICH RD STE 204B
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23462-6541
Practice Address - Country:US
Practice Address - Phone:757-598-4787
Practice Address - Fax:866-835-4610
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-25
Last Update Date:2022-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1932771888Medicaid