Provider Demographics
NPI:1336846864
Name:SENSITIVE HEART HEALTH TRAINING AGENCY, LLC
Entity Type:Organization
Organization Name:SENSITIVE HEART HEALTH TRAINING AGENCY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DORINA
Authorized Official - Middle Name:K
Authorized Official - Last Name:HAYES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-904-5611
Mailing Address - Street 1:4602 WESTGROVE CT.
Mailing Address - Street 2:SUITE C
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23455-5414
Mailing Address - Country:US
Mailing Address - Phone:757-904-5611
Mailing Address - Fax:757-904-5612
Practice Address - Street 1:4602 WESTGROVE CT.
Practice Address - Street 2:SUITE C
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23455-5414
Practice Address - Country:US
Practice Address - Phone:757-904-5611
Practice Address - Fax:757-904-5612
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-15
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAHCO233050Medicaid
VA0001172911OtherRN