Healthcare Provider Details

I. General information

NPI: 1265202386
Provider Name (Legal Business Name): HEART & SOUL NURSING CONCIERGE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2024
Last Update Date: 02/24/2026
Certification Date: 02/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

414 N WESTOVER BLVD STE D2
ALBANY GA
31707-2102
US

IV. Provider business mailing address

414 N WESTOVER BLVD STE D2
ALBANY GA
31707-2102
US

V. Phone/Fax

Practice location:
  • Phone: 229-900-7104
  • Fax: 229-297-6564
Mailing address:
  • Phone: 229-900-7104
  • Fax: 229-297-6564

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State

VIII. Authorized Official

Name: DENIQUA HARVEY
Title or Position: CEO
Credential: RN
Phone: 229-900-7104