Healthcare Provider Details

I. General information

NPI: 1194329235
Provider Name (Legal Business Name): HEARTS TO HANDS CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/30/2020
Last Update Date: 05/22/2023
Certification Date: 05/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 UNION AVE STE 5O1E
IRVINGTON NJ
07111-3262
US

IV. Provider business mailing address

50 UNION AVE STE 5O1E
IRVINGTON NJ
07111-3262
US

V. Phone/Fax

Practice location:
  • Phone: 973-536-4937
  • Fax:
Mailing address:
  • Phone: 973-536-4937
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: ZAQUINA ZACKERY
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: MSW
Phone: 973-563-4937