Provider Demographics
NPI:1841654597
Name:EMBRACING HEARTS AT HOME, LLC
Entity type:Organization
Organization Name:EMBRACING HEARTS AT HOME, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:BRUMFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:678-575-5197
Mailing Address - Street 1:2033 JAMES RIVER CV
Mailing Address - Street 2:
Mailing Address - City:SUWANEE
Mailing Address - State:GA
Mailing Address - Zip Code:30024-2741
Mailing Address - Country:US
Mailing Address - Phone:678-575-5197
Mailing Address - Fax:
Practice Address - Street 1:2033 JAMES RIVER CV
Practice Address - Street 2:
Practice Address - City:SUWANEE
Practice Address - State:GA
Practice Address - Zip Code:30024-2741
Practice Address - Country:US
Practice Address - Phone:678-575-5197
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-08
Last Update Date:2016-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA067-R-1596251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care