Provider Demographics
NPI:1710126107
Name:HAVE A HEART HOME HEALTH GROUP, LLC
Entity Type:Organization
Organization Name:HAVE A HEART HOME HEALTH GROUP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUSSIANE
Authorized Official - Middle Name:NHIA
Authorized Official - Last Name:HERR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-472-6446
Mailing Address - Street 1:1090 EARL ST
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55106-2705
Mailing Address - Country:US
Mailing Address - Phone:651-472-6446
Mailing Address - Fax:651-318-3635
Practice Address - Street 1:1090 EARL ST
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55106-2705
Practice Address - Country:US
Practice Address - Phone:651-472-6446
Practice Address - Fax:651-318-3635
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-09
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN251E00000X
251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health