Provider Demographics
NPI:1689122251
Name:HEARTS THAT CARE HOME CARE AGENCY LLC
Entity Type:Organization
Organization Name:HEARTS THAT CARE HOME CARE AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ALTERNATE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MRUGESHKUMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:SONI
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:214-458-3103
Mailing Address - Street 1:12100 FORD ROAD
Mailing Address - Street 2:SUITE 138
Mailing Address - City:FARMERS BRANCH
Mailing Address - State:TX
Mailing Address - Zip Code:75234
Mailing Address - Country:US
Mailing Address - Phone:214-458-3103
Mailing Address - Fax:972-292-7879
Practice Address - Street 1:12100 FORD ROAD
Practice Address - Street 2:SUITE 138
Practice Address - City:FARMERS BRANCH
Practice Address - State:TX
Practice Address - Zip Code:75234
Practice Address - Country:US
Practice Address - Phone:214-458-3103
Practice Address - Fax:972-292-7879
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-13
Last Update Date:2020-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty
No253Z00000XAgenciesIn Home Supportive CareGroup - Single Specialty