Provider Demographics
NPI:1952965600
Name:HANEY'S HEART TO HEART IN-HOME CARE LLC
Entity type:Organization
Organization Name:HANEY'S HEART TO HEART IN-HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:
Authorized Official - Last Name:HANEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-724-4677
Mailing Address - Street 1:15554 CHASTE ST
Mailing Address - Street 2:
Mailing Address - City:FLORISSANT
Mailing Address - State:MO
Mailing Address - Zip Code:63034-2171
Mailing Address - Country:US
Mailing Address - Phone:314-724-4677
Mailing Address - Fax:314-667-3505
Practice Address - Street 1:15554 CHASTE ST
Practice Address - Street 2:
Practice Address - City:FLORISSANT
Practice Address - State:MO
Practice Address - Zip Code:63034-2171
Practice Address - Country:US
Practice Address - Phone:314-724-4677
Practice Address - Fax:314-667-3505
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-29
Last Update Date:2019-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care