Provider Demographics
NPI:1689293409
Name:GLOBAL HEART HOME CARE AGENCY
Entity Type:Organization
Organization Name:GLOBAL HEART HOME CARE AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KHAYRIYYAH
Authorized Official - Middle Name:KAMEELAH
Authorized Official - Last Name:MURRAY
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:267-977-4139
Mailing Address - Street 1:2913 W CLEMENTINE ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19132-1118
Mailing Address - Country:US
Mailing Address - Phone:267-977-4139
Mailing Address - Fax:
Practice Address - Street 1:2913 W CLEMENTINE ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19132-1118
Practice Address - Country:US
Practice Address - Phone:267-977-4139
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-11
Last Update Date:2020-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care