Healthcare Provider Details
I. General information
NPI: 1104787407
Provider Name (Legal Business Name): HEARTS N HARMONY HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/18/2025
Last Update Date: 11/18/2025
Certification Date: 11/18/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
625 7TH AVE STE A
AYNOR SC
29511-3142
US
IV. Provider business mailing address
625 7TH AVE STE A
AYNOR SC
29511-3142
US
V. Phone/Fax
- Phone: 843-358-0038
- Fax: 843-358-0050
- Phone: 843-358-0038
- Fax: 843-358-0050
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332U00000X |
| Taxonomy | Home Delivered Meals |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
FREDRICKA
OWENS
Title or Position: OWNER
Credential:
Phone: 843-358-0038