Provider Demographics
NPI:1770879678
Name:HEART 2 HEARTS HOME CARE
Entity type:Organization
Organization Name:HEART 2 HEARTS HOME CARE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/OFFICE MGR
Authorized Official - Prefix:MS
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:C
Authorized Official - Last Name:HINTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-359-0966
Mailing Address - Street 1:2001 SUNNY WAY
Mailing Address - Street 2:P.O.BOX 734
Mailing Address - City:CLAYTON
Mailing Address - State:NC
Mailing Address - Zip Code:27520-9326
Mailing Address - Country:US
Mailing Address - Phone:919-359-0966
Mailing Address - Fax:919-359-0402
Practice Address - Street 1:2001 SUNNY WAY
Practice Address - Street 2:
Practice Address - City:CLAYTON
Practice Address - State:NC
Practice Address - Zip Code:27520-9326
Practice Address - Country:US
Practice Address - Phone:919-359-0966
Practice Address - Fax:919-359-0402
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-20
Last Update Date:2012-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC4386251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6602301OtherIN-HOME CARE (IHC)
NC3419068Medicaid