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NPI Code Detail

MEDICARE: HEALING HEARTS HEALTHCARE LLC

MEDICARE: HEALING HEARTS HEALTHCARE 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
1253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1184223521
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEALING HEARTS HEALTHCARE LLC
Provider Business Mailing Address
First Line : 6787 W TROPICANA AVE STE 249
Second Line :
City : LAS VEGAS
State : NV
Zip : 89103-4759
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6787 W TROPICANA AVE STE 249
Second Line :
City : LAS VEGAS
State : NV
Zip : 89103-4759
Country : US
Telephone Number : 702-609-4886
Fax Number :
Authorized Official
Title or Position : OWNER
Name : JAZMIN WILLIAMS
Credential :
Telephone Number : 702-609-4886
Provider Enumeration Date : 10/17/2020
Last Update Date : 10/17/2020

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Directions to “HEALING HEARTS HEALTHCARE LLC ” Practice Location

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