Healthcare Provider Details

I. General information

NPI: 1518730571
Provider Name (Legal Business Name): HEART TO HEART CHILDREN'S SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2023
Last Update Date: 11/01/2023
Certification Date: 11/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1251 E 19TH ST APT 6C
BROOKLYN NY
11230-5438
US

IV. Provider business mailing address

1251 E 19TH ST APT 6C
BROOKLYN NY
11230-5438
US

V. Phone/Fax

Practice location:
  • Phone: 917-362-1554
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: ESTHER ROTH
Title or Position: MEMBER
Credential:
Phone: 631-530-2954