Healthcare Provider Details

I. General information

NPI: 1932981453
Provider Name (Legal Business Name): HEART 2 HEART UNLTD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2023
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24230 BARTON RD STE A
LOMA LINDA CA
92354-3232
US

IV. Provider business mailing address

24230 BARTON RD STE A
LOMA LINDA CA
92354-3232
US

V. Phone/Fax

Practice location:
  • Phone: 747-786-4209
  • Fax:
Mailing address:
  • Phone: 909-478-0743
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JUBILEE CELESTIA VEGA
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 813-720-9825