Provider Demographics
NPI:1710108550
Name:HOPE FOR THE HEART HOME CARE AGENCY, INC.
Entity Type:Organization
Organization Name:HOPE FOR THE HEART HOME CARE AGENCY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GAIL
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:RUFFIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-391-5566
Mailing Address - Street 1:1138 WELLONS DR
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28304-5053
Mailing Address - Country:US
Mailing Address - Phone:910-391-5566
Mailing Address - Fax:910-339-4077
Practice Address - Street 1:690 N REILLY RD
Practice Address - Street 2:SUITE 8
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28303-5724
Practice Address - Country:US
Practice Address - Phone:910-391-5566
Practice Address - Fax:910-339-4077
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-01
Last Update Date:2012-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1710108550251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health