Provider Demographics
NPI:1205469830
Name:BIG HEARTS TO HEARTS HOME CARE LLC
Entity type:Organization
Organization Name:BIG HEARTS TO HEARTS HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KEVICHE
Authorized Official - Middle Name:
Authorized Official - Last Name:LAWS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:215-200-6410
Mailing Address - Street 1:1103 WINDRIM AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19141-2817
Mailing Address - Country:US
Mailing Address - Phone:215-457-6400
Mailing Address - Fax:215-457-6500
Practice Address - Street 1:1103 WINDRIM AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19141-2817
Practice Address - Country:US
Practice Address - Phone:215-457-6400
Practice Address - Fax:212-457-6500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-21
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA41663601OtherDEPARTMENT OF HEALTH HOME CARE LICENSE