MEDICARE: JOYFUL HEART HOUSE CALLS, LLC

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	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1134694730
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOYFUL HEART HOUSE CALLS, LLC

Provider Business Mailing Address
First Line	:	2903 CAPE HORN CIR
Second Line	:
City	:	PLATTSMOUTH
State	:	NE
Zip	:	68048-7159
Country	:	US
Telephone Number	:	402-804-4722
Fax Number	:	866-279-0083

Provider Business Practice Location Address
First Line	:	2903 CAPE HORN CIR
Second Line	:
City	:	PLATTSMOUTH
State	:	NE
Zip	:	68048-7159
Country	:	US
Telephone Number	:	907-690-1901
Fax Number	:

Authorized Official
Title or Position	:	NURSE PRACTITIONER/OWNER
Name	:	VIRGINIA (JENNI) GALLAGHER
Credential	:	APRN
Telephone Number	:	402-804-4722

Provider Enumeration Date	:	10/10/2018
Last Update Date	:	07/08/2024

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