Healthcare Provider Details

I. General information

NPI: 1437954393
Provider Name (Legal Business Name): HEALING HEARTS HEALING HOMES- HOME HEALTH CARE LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/14/2025
Last Update Date: 02/14/2025
Certification Date: 02/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 CLEARVIEW AVE APT 2
WORCESTER MA
01605-1366
US

IV. Provider business mailing address

15 CLEARVIEW AVE APT 2
WORCESTER MA
01605-1366
US

V. Phone/Fax

Practice location:
  • Phone: 774-464-3268
  • Fax:
Mailing address:
  • Phone: 774-464-3268
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MRS. KAITLYN JENIKE
Title or Position: OWNER
Credential: CPCA, CPT, DA
Phone: 774-464-3268