Healthcare Provider Details

I. General information

NPI: 1295439354
Provider Name (Legal Business Name): OPEN HEARTS HOME CARE SERVICE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2023
Last Update Date: 03/30/2023
Certification Date: 03/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

234 N 6TH ST
READING PA
19601-3300
US

IV. Provider business mailing address

234 N 6TH ST
READING PA
19601-3300
US

V. Phone/Fax

Practice location:
  • Phone: 484-772-5833
  • Fax:
Mailing address:
  • Phone: 484-772-5833
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: JESSICA SCOTT
Title or Position: RN,MSN, CEO
Credential:
Phone: 610-372-1603