Provider Demographics
NPI:1669055497
Name:HEARTS AND HANDS LLC
Entity type:Organization
Organization Name:HEARTS AND HANDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:KEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SAUSA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-309-3452
Mailing Address - Street 1:2644 APPIAN WAY STE 206
Mailing Address - Street 2:
Mailing Address - City:PINOLE
Mailing Address - State:CA
Mailing Address - Zip Code:94564-2241
Mailing Address - Country:US
Mailing Address - Phone:510-380-1400
Mailing Address - Fax:
Practice Address - Street 1:2644 APPIAN WAY STE 206
Practice Address - Street 2:
Practice Address - City:PINOLE
Practice Address - State:CA
Practice Address - Zip Code:94564-2241
Practice Address - Country:US
Practice Address - Phone:510-380-1400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-29
Last Update Date:2021-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care