Provider Demographics
NPI:1710954730
Name:HEARTBEAT HOME HEALTH AGENCY LTD.LLP
Entity Type:Organization
Organization Name:HEARTBEAT HOME HEALTH AGENCY LTD.LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C E O
Authorized Official - Prefix:MR
Authorized Official - First Name:OLADIPO
Authorized Official - Middle Name:B
Authorized Official - Last Name:AWOWALE
Authorized Official - Suffix:
Authorized Official - Credentials:BSC
Authorized Official - Phone:972-682-0727
Mailing Address - Street 1:3939 E HWY 80, SUITE 470
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75150-3373
Mailing Address - Country:US
Mailing Address - Phone:972-682-0727
Mailing Address - Fax:972-682-0766
Practice Address - Street 1:3939 E HWY 80, SUIT 470
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75150-3373
Practice Address - Country:US
Practice Address - Phone:972-682-0727
Practice Address - Fax:972-682-0766
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX009304251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX679105Medicare ID - Type UnspecifiedHOME HEALTH PROVIDER