Provider Demographics
NPI:1790520872
Name:HEALING HEARTS STAFFING LLC
Entity type:Organization
Organization Name:HEALING HEARTS STAFFING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CECILE
Authorized Official - Middle Name:
Authorized Official - Last Name:SPENCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-688-5151
Mailing Address - Street 1:1594 CANARSIE RD
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11236-5204
Mailing Address - Country:US
Mailing Address - Phone:347-737-4254
Mailing Address - Fax:
Practice Address - Street 1:321 PENNSYLVANIA AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11207-4101
Practice Address - Country:US
Practice Address - Phone:718-688-5151
Practice Address - Fax:718-484-8986
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-28
Last Update Date:2024-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service