Provider Demographics
NPI:1457801672
Name:BUYA WARM HANDS AND HEARTS
Entity Type:Organization
Organization Name:BUYA WARM HANDS AND HEARTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:HARISTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-270-0909
Mailing Address - Street 1:645 CHURCH ST STE 101
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23510-1712
Mailing Address - Country:US
Mailing Address - Phone:310-270-0909
Mailing Address - Fax:
Practice Address - Street 1:645 CHURCH ST STE 101
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23510-1712
Practice Address - Country:US
Practice Address - Phone:310-270-0909
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-12
Last Update Date:2016-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHCO251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health