Provider Demographics
NPI:1356962153
Name:HEARTZ COMPANIONS LLC
Entity type:Organization
Organization Name:HEARTZ COMPANIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LAQUINTA
Authorized Official - Middle Name:A
Authorized Official - Last Name:HUTCHINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-939-9989
Mailing Address - Street 1:7684 BERNARDO DR
Mailing Address - Street 2:
Mailing Address - City:RIVERDALE
Mailing Address - State:GA
Mailing Address - Zip Code:30296-7191
Mailing Address - Country:US
Mailing Address - Phone:678-939-9989
Mailing Address - Fax:
Practice Address - Street 1:7684 BERNARDO DR
Practice Address - Street 2:
Practice Address - City:RIVERDALE
Practice Address - State:GA
Practice Address - Zip Code:30296-7191
Practice Address - Country:US
Practice Address - Phone:678-939-9989
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-03
Last Update Date:2020-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care