Healthcare Provider Details

I. General information

NPI: 1427665389
Provider Name (Legal Business Name): 2 HEARTS HOME HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2020
Last Update Date: 05/29/2024
Certification Date: 05/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4365 E PECOS RD STE 112
GILBERT AZ
85295-7888
US

IV. Provider business mailing address

4365 E PECOS RD STE 112
GILBERT AZ
85295-7888
US

V. Phone/Fax

Practice location:
  • Phone: 602-525-3253
  • Fax: 602-445-9358
Mailing address:
  • Phone: 602-525-3253
  • Fax: 602-445-9358

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MR. MICHELE BOSCHETTO
Title or Position: OWNER
Credential:
Phone: 602-525-3253