Provider Demographics
NPI:1689956989
Name:HEARTFELT HOME HEALTHCARE SERVICES, INC.
Entity Type:Organization
Organization Name:HEARTFELT HOME HEALTHCARE SERVICES, INC.
Other - Org Name:HEARTFELT CARE - MEADVILLE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:TEETER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-838-2743
Mailing Address - Street 1:PO BOX 8517
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16505-0517
Mailing Address - Country:US
Mailing Address - Phone:814-838-2743
Mailing Address - Fax:814-835-1320
Practice Address - Street 1:18279 CONNEAUT LAKE RD
Practice Address - Street 2:
Practice Address - City:MEADVILLE
Practice Address - State:PA
Practice Address - Zip Code:16335-3759
Practice Address - Country:US
Practice Address - Phone:814-337-8383
Practice Address - Fax:814-337-8380
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-13
Last Update Date:2015-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA20873601253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA21653601OtherPA HOME CARE LICENSE