Healthcare Provider Details

I. General information

NPI: 1144833575
Provider Name (Legal Business Name): EMBRACING HEARTS HEALTHCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2020
Last Update Date: 08/25/2020
Certification Date: 08/25/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1018 EMILEIGH DR
SUMMIT MS
39666-4700
US

IV. Provider business mailing address

1018 EMILEIGH DR
SUMMIT MS
39666-4700
US

V. Phone/Fax

Practice location:
  • Phone: 601-341-6452
  • Fax:
Mailing address:
  • Phone: 601-341-6452
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385HR2065X
TaxonomyChild Physical Disabilities Respite Care
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: RACHEL MICHELLE GALDINO
Title or Position: OWNER
Credential: BSN, RN
Phone: 601-341-6452