Healthcare Provider Details

I. General information

NPI: 1548466469
Provider Name (Legal Business Name): HOME HEALTH WITH HEART, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2007
Last Update Date: 07/22/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10800 E BETHANY DR SUITE 100
AURORA CO
80014-2687
US

IV. Provider business mailing address

2301 HIGHWAY 1187 SUITE 203
MANSFIELD TX
76063-6124
US

V. Phone/Fax

Practice location:
  • Phone: 303-752-9494
  • Fax: 303-752-9797
Mailing address:
  • Phone: 817-469-6739
  • Fax: 817-801-3486

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ANGIE W EDDINS
Title or Position: OWNER
Credential:
Phone: 817-469-6739