Provider Demographics
NPI:1851673875
Name:WARM HEARTS FAMILY CARE
Entity Type:Organization
Organization Name:WARM HEARTS FAMILY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:AMANTHA
Authorized Official - Middle Name:TAJUANA
Authorized Official - Last Name:HARDISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-340-6551
Mailing Address - Street 1:4113 SUMMERGLEN DR
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27406-6425
Mailing Address - Country:US
Mailing Address - Phone:336-340-6551
Mailing Address - Fax:
Practice Address - Street 1:4113 SUMMERGLEN DR
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27406-6425
Practice Address - Country:US
Practice Address - Phone:336-340-6551
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-15
Last Update Date:2011-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness