Provider Demographics
NPI:1801764931
Name:HEARTWELL HOME HEALTH CARE CORP.
Entity type:Organization
Organization Name:HEARTWELL HOME HEALTH CARE CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:CLEMENTE
Authorized Official - Middle Name:
Authorized Official - Last Name:SIERRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-542-5338
Mailing Address - Street 1:2500 NW 79TH AVE STE 115-117
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33122-1073
Mailing Address - Country:US
Mailing Address - Phone:305-591-7898
Mailing Address - Fax:305-591-7112
Practice Address - Street 1:2500 NW 79TH AVE STE 115-117
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33122-1073
Practice Address - Country:US
Practice Address - Phone:305-591-7898
Practice Address - Fax:305-591-7112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-29
Last Update Date:2025-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)