MEDICARE: HEALING HEARTS HEALING HOMES- HOME HEALTH CARE LLP

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	251B00000X	Case Management Agency
2	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1437954393
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALING HEARTS HEALING HOMES- HOME HEALTH CARE LLP

Provider Business Mailing Address
First Line	:	15 CLEARVIEW AVE APT 2
Second Line	:
City	:	WORCESTER
State	:	MA
Zip	:	01605-1366
Country	:	US
Telephone Number	:	774-464-3268
Fax Number	:

Provider Business Practice Location Address
First Line	:	15 CLEARVIEW AVE APT 2
Second Line	:
City	:	WORCESTER
State	:	MA
Zip	:	01605-1366
Country	:	US
Telephone Number	:	774-464-3268
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. KAITLYN JENIKE
Credential	:	CPCA, CPT, DA
Telephone Number	:	774-464-3268

Provider Enumeration Date	:	02/14/2025
Last Update Date	:	02/14/2025

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