Healthcare Provider Details

I. General information

NPI: 1710853940
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: 10/15/2025
Last Update Date: 10/15/2025
Certification Date: 10/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 CLEARVIEW AVE APT 2
WORCESTER MA
01605-1366
US

IV. Provider business mailing address

117 BYRSONIMA CIR
HOMOSASSA FL
34446-4669
US

V. Phone/Fax

Practice location:
  • Phone: 774-280-8665
  • Fax: 617-203-7819
Mailing address:
  • Phone: 774-280-8665
  • Fax: 617-203-7819

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
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: KAITLYN JENIKE
Title or Position: OWNER
Credential: CPT, HHA, PCA
Phone: 774-280-8665