Provider Demographics
NPI:1720023120
Name:HEARTLINK HOME HEALTH, INC
Entity Type:Organization
Organization Name:HEARTLINK HOME HEALTH, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:SALAZAR
Authorized Official - Suffix:
Authorized Official - Credentials:LVN
Authorized Official - Phone:210-737-8800
Mailing Address - Street 1:1219 MCCULLOUGH AVE
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78212-4811
Mailing Address - Country:US
Mailing Address - Phone:210-737-8800
Mailing Address - Fax:210-737-8801
Practice Address - Street 1:1219 MCCULLOUGH AVE
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78212-4811
Practice Address - Country:US
Practice Address - Phone:210-737-8800
Practice Address - Fax:210-737-8801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX67-9239Medicare ID - Type UnspecifiedLICENSED AND CERTIFIED