MEDICARE: HEART2HEART HOME HEALTH CARE 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	163W00000X	Registered Nurse
2	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1215781596
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEART2HEART HOME HEALTH CARE LLC

Provider Business Mailing Address
First Line	:	850 EUCLID AVE SUITE 819 #3768
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44114
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4128 WOODMONT RD
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43613-3824
Country	:	US
Telephone Number	:	567-205-1742
Fax Number	:

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	JALEESA SPENCER
Credential	:
Telephone Number	:	567-205-1742

Provider Enumeration Date	:	04/15/2024
Last Update Date	:	01/06/2025

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