MEDICARE: 2 HEARTS 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	163WC0400X	Case Management Registered Nurse
2	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1427665389
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	2 HEARTS HOME HEALTH CARE LLC

Provider Business Mailing Address
First Line	:	4365 E PECOS RD STE 112
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85295-7888
Country	:	US
Telephone Number	:	602-525-3253
Fax Number	:	602-445-9358

Provider Business Practice Location Address
First Line	:	4365 E PECOS RD STE 112
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85295-7888
Country	:	US
Telephone Number	:	602-525-3253
Fax Number	:	602-445-9358

Authorized Official
Title or Position	:	OWNER
Name	:	MR. MICHELE BOSCHETTO
Credential	:
Telephone Number	:	602-525-3253

Provider Enumeration Date	:	09/24/2020
Last Update Date	:	05/29/2024

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