Healthcare Provider Details

I. General information

NPI: 1295256212
Provider Name (Legal Business Name): HEART 2 HEART HOME CARE AGENCY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 MOUNT AIRE FARM ROAD
GLEN MILLS PA
19342
US

IV. Provider business mailing address

11 MOUNT AIRE FARM RD
GLEN MILLS PA
19342-3356
US

V. Phone/Fax

Practice location:
  • Phone: 302-897-2484
  • Fax:
Mailing address:
  • Phone: 302-897-2484
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number33296301
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MRS. TITIXA PATEL
Title or Position: OWNER
Credential:
Phone: 302-897-2484