MEDICARE: HEART TO HEART HOLISTIC HEALTHCARE SERVICES

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	R898458	MS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1407280811
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEART TO HEART HOLISTIC HEALTHCARE SERVICES

Provider Business Mailing Address
First Line	:	1206 COX ST
Second Line	:
City	:	JACKSON
State	:	MS
Zip	:	39204-2707
Country	:	US
Telephone Number	:	601-500-2542
Fax Number	:	769-208-8014

Provider Business Practice Location Address
First Line	:	1206 COX ST
Second Line	:
City	:	JACKSON
State	:	MS
Zip	:	39204-2707
Country	:	US
Telephone Number	:	601-500-2542
Fax Number	:	769-208-8014

Authorized Official
Title or Position	:	RN/OWNER
Name	:	MISS RUBY D WILSON
Credential	:	RN
Telephone Number	:	601-500-2542

Provider Enumeration Date	:	08/22/2013
Last Update Date	:	01/14/2026

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