Provider Demographics
NPI:1255569117
Name:HEALING HEARTS HOME HEALTH CARE, INC.
Entity type:Organization
Organization Name:HEALING HEARTS HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JESUS
Authorized Official - Middle Name:C
Authorized Official - Last Name:HUERTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-689-5400
Mailing Address - Street 1:625 E BIG BEAVER RD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48083-1426
Mailing Address - Country:US
Mailing Address - Phone:248-689-5400
Mailing Address - Fax:
Practice Address - Street 1:625 E BIG BEAVER RD
Practice Address - Street 2:SUITE 202
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48083-1426
Practice Address - Country:US
Practice Address - Phone:248-689-5400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-30
Last Update Date:2016-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
239164Medicare Oscar/Certification