Healthcare Provider Details

I. General information

NPI: 1649090572
Provider Name (Legal Business Name): HEART TO HEART HEALTHCARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/15/2024
Last Update Date: 10/15/2024
Certification Date: 10/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

326 MOUNT PLEASANT DR
COLUMBUS GA
31907-6049
US

IV. Provider business mailing address

326 MOUNT PLEASANT DR
COLUMBUS GA
31907-6049
US

V. Phone/Fax

Practice location:
  • Phone: 762-332-8248
  • Fax:
Mailing address:
  • Phone: 762-332-8248
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: CAROLYN THOMAS
Title or Position: ADMINISTRATOR
Credential:
Phone: 762-332-8248