Provider Demographics
NPI:1922887363
Name:SPECIAL HEARTS HOME CARE LLC
Entity Type:Organization
Organization Name:SPECIAL HEARTS HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:RIVERS
Authorized Official - Suffix:
Authorized Official - Credentials:MLT, ASCP
Authorized Official - Phone:412-923-8634
Mailing Address - Street 1:1210 AIRBRAKE AVE STE 12014
Mailing Address - Street 2:
Mailing Address - City:TURTLE CREEK
Mailing Address - State:PA
Mailing Address - Zip Code:15145
Mailing Address - Country:US
Mailing Address - Phone:412-844-2525
Mailing Address - Fax:
Practice Address - Street 1:1210 AIRBRAKE AVE STE 12014
Practice Address - Street 2:
Practice Address - City:TURTLE CREEK
Practice Address - State:PA
Practice Address - Zip Code:15145
Practice Address - Country:US
Practice Address - Phone:412-844-2525
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-25
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health