Healthcare Provider Details

I. General information

NPI: 1053268359
Provider Name (Legal Business Name): HEART AT HOME CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2026
Last Update Date: 03/14/2026
Certification Date: 03/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1801 W EVANS ST STE D100
FLORENCE SC
29501-3376
US

IV. Provider business mailing address

1801 W EVANS ST STE D100
FLORENCE SC
29501-3376
US

V. Phone/Fax

Practice location:
  • Phone: 843-271-6070
  • Fax: 888-781-9149
Mailing address:
  • Phone: 843-271-6070
  • Fax: 888-781-9149

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: MS. KIANA CHEVONNE BROWN
Title or Position: ADMINISTRATOR
Credential: RN ADMINISTRATOR
Phone: 843-271-6070