Healthcare Provider Details
I. General information
NPI: 1588433643
Provider Name (Legal Business Name): HEART TO HEARTS SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/29/2023
Last Update Date: 07/25/2024
Certification Date: 07/25/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
15851 PARKHILL DR
ORLAND PARK IL
60462-4782
US
IV. Provider business mailing address
15851 PARKHILL DR
ORLAND PARK IL
60462-4782
US
V. Phone/Fax
- Phone: 708-403-9760
- Fax: 708-403-9763
- Phone: 708-403-9760
- Fax: 708-403-9763
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QA0600X |
| Taxonomy | Adult Day Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
BRENDA
CAMPBELL
Title or Position: OWNER/ADMINISTRATOR
Credential: PHD
Phone: 708-403-9760