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NPI Code Detail

MEDICARE: HEART TO HEART HOME CARE AGENCY, INC.

MEDICARE: HEART TO HEART HOME CARE AGENCY, INC.
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
1251J00000XNursing Care AgencyHC3222NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1437227626
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEART TO HEART HOME CARE AGENCY, INC.
Provider Business Mailing Address
First Line : 6219 MILFORD RD
Second Line :
City : FAYETTEVILLE
State : NC
Zip : 28303-2639
Country : US
Telephone Number : 910-480-1132
Fax Number : 910-484-9080
Provider Business Practice Location Address
First Line : 2904 FORT BRAGG RD
Second Line :
City : FAYETTEVILLE
State : NC
Zip : 28303-4725
Country : US
Telephone Number : 910-484-8080
Fax Number : 910-484-9080
Authorized Official
Title or Position : DIRECTOR
Name : MRS. GLORIA D JOHNSON
Credential :
Telephone Number : 910-484-8080
Provider Enumeration Date : 12/04/2006
Last Update Date : 12/10/2007

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Directions to “HEART TO HEART HOME CARE AGENCY, INC. ” Practice Location

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