Provider Demographics
NPI:1912510298
Name:HEARTBEAT HEALTHCARE SERVICES INC.
Entity Type:Organization
Organization Name:HEARTBEAT HEALTHCARE SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:AUGUSTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:NWANGUMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:682-347-3313
Mailing Address - Street 1:1717 BLUE STREAM DR
Mailing Address - Street 2:
Mailing Address - City:DESOTO
Mailing Address - State:TX
Mailing Address - Zip Code:75115-3962
Mailing Address - Country:US
Mailing Address - Phone:682-347-3313
Mailing Address - Fax:469-533-3319
Practice Address - Street 1:1717 BLUE STREAM DR
Practice Address - Street 2:
Practice Address - City:DESOTO
Practice Address - State:TX
Practice Address - Zip Code:75115-3962
Practice Address - Country:US
Practice Address - Phone:682-347-3313
Practice Address - Fax:469-533-3319
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-26
Last Update Date:2022-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty
No3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty