Healthcare Provider Details

I. General information

NPI: 1639014921
Provider Name (Legal Business Name): HEARTFELT HOME SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/22/2026
Last Update Date: 04/22/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

326 HOBSON ST PO BOX 691
UNIONTOWN KY
42461
US

IV. Provider business mailing address

326 HOBSON ST PO BOX 691
UNIONTOWN KY
42461
US

V. Phone/Fax

Practice location:
  • Phone: 270-997-7096
  • Fax:
Mailing address:
  • Phone: 270-997-7096
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MRS. TAMARA JACKSON
Title or Position: OWNER/ADMINISTRATOR
Credential:
Phone: 270-997-7096