Healthcare Provider Details

I. General information

NPI: 1174170070
Provider Name (Legal Business Name): HEART TO HEART HOME CARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2019
Last Update Date: 10/20/2022
Certification Date: 10/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1841 SUMMER PLACE DR E
MOBILE AL
36618-3238
US

IV. Provider business mailing address

1841 SUMMER PLACE DR E
MOBILE AL
36618-3238
US

V. Phone/Fax

Practice location:
  • Phone: 251-423-8651
  • Fax:
Mailing address:
  • Phone: 251-423-8651
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: TONYLA MALONE
Title or Position: HOME CARE COORDINA
Credential:
Phone: 251-423-8651