Provider Demographics
NPI:1770946162
Name:HEART OF THE HOME LLC
Entity type:Organization
Organization Name:HEART OF THE HOME LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR-CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TAMRA
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:FAIRCHILD-VARTY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-990-0329
Mailing Address - Street 1:170 ORCHARD DR
Mailing Address - Street 2:
Mailing Address - City:INMAN
Mailing Address - State:SC
Mailing Address - Zip Code:29349-9647
Mailing Address - Country:US
Mailing Address - Phone:864-990-0329
Mailing Address - Fax:864-708-3197
Practice Address - Street 1:170 ORCHARD DR
Practice Address - Street 2:
Practice Address - City:INMAN
Practice Address - State:SC
Practice Address - Zip Code:29349-9647
Practice Address - Country:US
Practice Address - Phone:864-990-0329
Practice Address - Fax:864-708-3197
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-01
Last Update Date:2020-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCIHCP-0202251J00000X, 347C00000X, 253Z00000X
251T00000X, 385H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251J00000XAgenciesNursing Care
No251T00000XAgenciesProgram of All-Inclusive Care for the Elderly (PACE) Provider Organization
No347C00000XTransportation ServicesPrivate Vehicle
No385H00000XRespite Care FacilityRespite Care