Provider Demographics
NPI:1184901621
Name:A HOPEFUL HEART HOME CARE
Entity type:Organization
Organization Name:A HOPEFUL HEART HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF NURSING
Authorized Official - Prefix:
Authorized Official - First Name:BRANDI
Authorized Official - Middle Name:N
Authorized Official - Last Name:MCCARTY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:765-674-3303
Mailing Address - Street 1:1038 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:GAS CITY
Mailing Address - State:IN
Mailing Address - Zip Code:46933-1621
Mailing Address - Country:US
Mailing Address - Phone:765-674-3303
Mailing Address - Fax:765-674-3357
Practice Address - Street 1:1038 E MAIN ST
Practice Address - Street 2:
Practice Address - City:GAS CITY
Practice Address - State:IN
Practice Address - Zip Code:46933-1621
Practice Address - Country:US
Practice Address - Phone:765-674-3303
Practice Address - Fax:765-674-3357
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-11
Last Update Date:2011-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health