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NPI Code Detail

MEDICARE: HEART TO HEART HOME HAVEN LLC

MEDICARE: HEART TO HEART HOME HAVEN 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
1261QA0600XAdult Day Care Clinic/Center
2251E00000XHome Health Agency

General Provider Information

NPI Number : 1700602232
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEART TO HEART HOME HAVEN LLC
Provider Business Mailing Address
First Line : 1509 S ARLINGTON ST
Second Line :
City : AKRON
State : OH
Zip : 44306-3831
Country : US
Telephone Number : 330-603-1645
Fax Number :
Provider Business Practice Location Address
First Line : 1509 S ARLINGTON ST
Second Line :
City : AKRON
State : OH
Zip : 44306-3831
Country : US
Telephone Number : 330-603-1645
Fax Number :
Authorized Official
Title or Position : DOO
Name : EVERLEE JOHNSON
Credential :
Telephone Number : 330-990-2775
Provider Enumeration Date : 11/30/2024
Last Update Date : 11/30/2024

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Directions to “HEART TO HEART HOME HAVEN LLC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.