Provider Demographics
NPI:1700668605
Name:TRUSTED HEARTS HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:TRUSTED HEARTS HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHAVON
Authorized Official - Middle Name:A
Authorized Official - Last Name:VICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-892-8895
Mailing Address - Street 1:555 FAYETTEVILLE ST STE 201
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27601-3034
Mailing Address - Country:US
Mailing Address - Phone:252-452-1999
Mailing Address - Fax:
Practice Address - Street 1:555 FAYETTEVILLE ST STE 201
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27601-3034
Practice Address - Country:US
Practice Address - Phone:919-892-8895
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-17
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)