Healthcare Provider Details

I. General information

NPI: 1932885076
Provider Name (Legal Business Name): HEART TO HEART HOME CARE SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2023
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4690 MILLENNIUM DR FL 3
BELCAMP MD
21017-1523
US

IV. Provider business mailing address

4690 MILLENNIUM DR FL 3
BELCAMP MD
21017-1523
US

V. Phone/Fax

Practice location:
  • Phone: 410-553-1649
  • Fax:
Mailing address:
  • Phone: 410-553-1649
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: SHANISE DIXON
Title or Position: CEO/ADMINISTRATOR
Credential: CPRP,HSM,MBA
Phone: 410-553-7957