Healthcare Provider Details

I. General information

NPI: 1124967195
Provider Name (Legal Business Name): WILLOW HEART AND HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2026
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

709 FIRST ST
HUNTINGTON IN
46750-2305
US

IV. Provider business mailing address

709 FIRST ST
HUNTINGTON IN
46750-2305
US

V. Phone/Fax

Practice location:
  • Phone: 260-519-1890
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: ANDREA FAITH CHESTERMAN
Title or Position: MEMBER/OWNER
Credential:
Phone: 260-519-1890