MEDICARE: HEARTFELT HOME HEALTH RESOURCES

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	201116800717	OH

General Provider Information

NPI Number	:	1174802508
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEARTFELT HOME HEALTH RESOURCES

Provider Business Mailing Address
First Line	:	12003 BROWNING AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44120-1117
Country	:	US
Telephone Number	:	216-791-8383
Fax Number	:	216-707-0607

Provider Business Practice Location Address
First Line	:	12003 BROWNING AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44120-1117
Country	:	US
Telephone Number	:	216-791-8383
Fax Number	:	216-707-0607

Authorized Official
Title or Position	:	OWNER
Name	:	MISS TERRI J SMITH
Credential	:
Telephone Number	:	216-791-8383

Provider Enumeration Date	:	08/16/2011
Last Update Date	:	08/16/2011

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