MEDICARE: HEART TO HEART HOMECARE, L.L.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	016017	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1851401210	OTHER	TX	MEDICARE NPI

General Provider Information

NPI Number	:	1083156921
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEART TO HEART HOMECARE, L.L.C.

Provider Business Mailing Address
First Line	:	308 W NOLANA AVE
Second Line	:
City	:	MCALLEN
State	:	TX
Zip	:	78504-2528
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	308 W NOLANA AVE
Second Line	:
City	:	MCALLEN
State	:	TX
Zip	:	78504-2528
Country	:	US
Telephone Number	:	956-971-9311
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MARTHA LOPEZ
Credential	:
Telephone Number	:	956-971-9311

Provider Enumeration Date	:	11/09/2016
Last Update Date	:	11/09/2016

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Directions to “HEART TO HEART HOMECARE, L.L.C. ” Practice Location

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