Healthcare Provider Details

I. General information

NPI: 1679360309
Provider Name (Legal Business Name): HEART'S CONNECT HOME HEALTH AND HOSPICE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2025
Last Update Date: 02/10/2026
Certification Date: 02/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 CARBE CT
NORTH CHESTERFIELD VA
23236-2709
US

IV. Provider business mailing address

115 CARBE CT
NORTH CHESTERFIELD VA
23236-2709
US

V. Phone/Fax

Practice location:
  • Phone: 919-454-0809
  • Fax:
Mailing address:
  • Phone: 919-454-0809
  • 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 Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: ERIKKA B HALLBACK
Title or Position: ADMINISTRATOR/COO
Credential:
Phone: 919-454-0809