Provider Demographics
NPI:1770034555
Name:DEDICATED HEARTS CAREGIVERS
Entity Type:Organization
Organization Name:DEDICATED HEARTS CAREGIVERS
Other - Org Name:DEDICATED HEARTS CAREGIVERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:WAMESHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:HATCHETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:936-442-8223
Mailing Address - Street 1:409 N LOOP 336 W STE 5B
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77301-1238
Mailing Address - Country:US
Mailing Address - Phone:936-442-8223
Mailing Address - Fax:936-494-2496
Practice Address - Street 1:409 N LOOP 336 W STE 5B
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77301-1238
Practice Address - Country:US
Practice Address - Phone:936-442-8223
Practice Address - Fax:936-494-2496
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-17
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health