Healthcare Provider Details

I. General information

NPI: 1003627316
Provider Name (Legal Business Name): HEARTFELT HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/16/2025
Last Update Date: 01/16/2025
Certification Date: 01/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

914 BROOKDALE ST
MARTINSVILLE VA
24112-3105
US

IV. Provider business mailing address

914 BROOKDALE ST
MARTINSVILLE VA
24112-3105
US

V. Phone/Fax

Practice location:
  • Phone: 336-830-3706
  • Fax:
Mailing address:
  • Phone: 336-830-3706
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
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 TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MELISSA RAMEY-HARRIS
Title or Position: CEO
Credential:
Phone: 336-830-3706