Healthcare Provider Details

I. General information

NPI: 1902296999
Provider Name (Legal Business Name): HEART TOO HEART HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/28/2015
Last Update Date: 03/06/2025
Certification Date: 03/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

118 SOUTH MAIN AVENUE
SCRANTON PA
18504
US

IV. Provider business mailing address

118 SOUTH MAIN AVENUE
SCRANTON PA
18504
US

V. Phone/Fax

Practice location:
  • Phone: 570-507-9844
  • Fax:
Mailing address:
  • Phone: 570-507-9844
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number26133601
License Number StatePA

VII. Legacy identifiers

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

VIII. Authorized Official

Name: OLGIE MORENO PROSPER
Title or Position: COO
Credential:
Phone: 570-507-9844