Healthcare Provider Details

I. General information

NPI: 1205763570
Provider Name (Legal Business Name): HEART 2 HEART TRANSPORTATION LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2026
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1508 CARROL ST APT A6
EAST CHICAGO IN
46312-3955
US

IV. Provider business mailing address

1508 CARROL ST APT A6
EAST CHICAGO IN
46312-3955
US

V. Phone/Fax

Practice location:
  • Phone: 219-803-2075
  • Fax: 219-501-7030
Mailing address:
  • Phone: 219-803-2075
  • Fax: 219-501-7030

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MISS DEBRA JEAN JOHNSON
Title or Position: C.E.O
Credential:
Phone: 678-814-9007