Healthcare Provider Details

I. General information

NPI: 1902355134
Provider Name (Legal Business Name): HEART TO HEART, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2016
Last Update Date: 09/29/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

307 JUDGE SMITH DR
MARION AR
72364-2225
US

IV. Provider business mailing address

PO BOX 1393
MARION AR
72364-1393
US

V. Phone/Fax

Practice location:
  • Phone: 870-739-5353
  • Fax: 844-270-3872
Mailing address:
  • Phone: 870-739-5353
  • Fax: 844-270-3872

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number StateAR
# 2
Primary TaxonomyY
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number StateAR
# 3
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number StateAR
# 4
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateAR
# 5
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number StateAR

VIII. Authorized Official

Name: CASSANDRA WILLIAMS
Title or Position: PRESIDENT/CEO
Credential:
Phone: 870-739-5353