Healthcare Provider Details

I. General information

NPI: 1639880008
Provider Name (Legal Business Name): HEARTS-R-US HOME HEALTH AGENCY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/07/2022
Last Update Date: 12/07/2022
Certification Date: 12/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15074 MOUNT IVY RD
WEEKI WACHEE FL
34614-1360
US

IV. Provider business mailing address

15074 MOUNT IVY RD
WEEKI WACHEE FL
34614-1360
US

V. Phone/Fax

Practice location:
  • Phone: 941-393-7724
  • Fax:
Mailing address:
  • Phone: 941-393-7724
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number State

VIII. Authorized Official

Name: WENDY TRINIDAD
Title or Position: CEO
Credential: CNA
Phone: 941-393-7724