Healthcare Provider Details

I. General information

NPI: 1730412123
Provider Name (Legal Business Name): HEARTFELT HOME HEALTHCARE SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2009
Last Update Date: 07/21/2022
Certification Date: 10/28/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4166 W RIDGE RD
ERIE PA
16506
US

IV. Provider business mailing address

PO BOX 8517
ERIE PA
16506-0517
US

V. Phone/Fax

Practice location:
  • Phone: 814-838-2743
  • Fax: 814-835-1320
Mailing address:
  • Phone: 814-838-2743
  • Fax: 814-835-1320

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number StatePA

VIII. Authorized Official

Name: JEAN M SAPPINGTON
Title or Position: PRESIDENT
Credential:
Phone: 814-838-2743