Healthcare Provider Details

I. General information

NPI: 1932028503
Provider Name (Legal Business Name): HENRY'S HEARTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

912 SPRINGFIELD DR
CEDAR HILL TX
75104-7500
US

IV. Provider business mailing address

912 SPRINGFIELD DR
CEDAR HILL TX
75104-7500
US

V. Phone/Fax

Practice location:
  • Phone: 972-565-2377
  • Fax:
Mailing address:
  • Phone: 972-565-2377
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: JESSICA CAROL BURNETT
Title or Position: OWNER
Credential:
Phone: 972-565-2377