Provider Demographics
NPI:1740794163
Name:HEART TO HEART CARING LLC
Entity Type:Organization
Organization Name:HEART TO HEART CARING LLC
Other - Org Name:HEART TO HEART CARING L.L.C.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BUSINESS OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:SHUTTLEWORTH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-850-6178
Mailing Address - Street 1:840 ROBINWOOD ST
Mailing Address - Street 2:
Mailing Address - City:PONTIAC
Mailing Address - State:MI
Mailing Address - Zip Code:48340-3146
Mailing Address - Country:US
Mailing Address - Phone:248-850-6178
Mailing Address - Fax:248-850-6178
Practice Address - Street 1:840 ROBINWOOD ST
Practice Address - Street 2:
Practice Address - City:PONTIAC
Practice Address - State:MI
Practice Address - Zip Code:48340-4834
Practice Address - Country:US
Practice Address - Phone:248-850-6178
Practice Address - Fax:248-850-6178
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-21
Last Update Date:2017-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI802128957251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based