Healthcare Provider Details

I. General information

NPI: 1871171066
Provider Name (Legal Business Name): HEART N' SOUL, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2021
Last Update Date: 03/30/2021
Certification Date: 03/30/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13351 WATERFORD VIEW CT
LOVETTSVILLE VA
20180-3561
US

IV. Provider business mailing address

13351 WATERFORD VIEW CT
LOVETTSVILLE VA
20180-3561
US

V. Phone/Fax

Practice location:
  • Phone: 540-486-1472
  • Fax:
Mailing address:
  • Phone: 540-486-1472
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207QH0002X
TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: TAMMY SHEARROW
Title or Position: OWNER
Credential: NP
Phone: 540-486-1472