MEDICARE: HEART TO HEART HOME CARE SERVICES

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	3747P1801X	Personal Care Attendant
2	374U00000X	Home Health Aide
3	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1174170070
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEART TO HEART HOME CARE SERVICES

Provider Business Mailing Address
First Line	:	1841 SUMMER PLACE DR E
Second Line	:
City	:	MOBILE
State	:	AL
Zip	:	36618-3238
Country	:	US
Telephone Number	:	251-423-8651
Fax Number	:

Provider Business Practice Location Address
First Line	:	1841 SUMMER PLACE DR E
Second Line	:
City	:	MOBILE
State	:	AL
Zip	:	36618-3238
Country	:	US
Telephone Number	:	251-423-8651
Fax Number	:

Authorized Official
Title or Position	:	HOME CARE COORDINA
Name	:	TONYLA MALONE
Credential	:
Telephone Number	:	251-423-8651

Provider Enumeration Date	:	08/25/2019
Last Update Date	:	10/20/2022

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Directions to “HEART TO HEART HOME CARE SERVICES ” Practice Location

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