Healthcare Provider Details

I. General information

NPI: 1629339874
Provider Name (Legal Business Name): HEART TO HAND, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2012
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9701 APOLLO DR SUITE 400
LARGO MD
20774-4783
US

IV. Provider business mailing address

9701 APOLLO DR STE 400
LARGO MD
20774-4791
US

V. Phone/Fax

Practice location:
  • Phone: 301-772-0103
  • Fax: 301-772-0105
Mailing address:
  • Phone: 301-772-0103
  • Fax: 301-772-0105

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: DEDRA SPEARS-JOHNSON
Title or Position: EXECUTIVE DIRECTO
Credential: MS
Phone: 301-772-0103