Provider Demographics
NPI:1235023599
Name:PRECIOUS HEARTS 2 LLC
Entity type:Organization
Organization Name:PRECIOUS HEARTS 2 LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER OF THE LIMITED LIABILITY CO
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:WALTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-493-2542
Mailing Address - Street 1:2198 FULTON ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11233-6746
Mailing Address - Country:US
Mailing Address - Phone:516-493-2542
Mailing Address - Fax:
Practice Address - Street 1:2198 FULTON ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11233-6746
Practice Address - Country:US
Practice Address - Phone:516-493-2542
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-03
Last Update Date:2025-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care