=====================================================
General NPI Number Information
=====================================================
NPI Number | 1407280811
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HEART TO HEART HOLISTIC HEALTHCARE SERVICES
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/22/2013
-----------------------------------------------------
Last Update Date | 01/14/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1206 COX ST
-----------------------------------------------------
City | JACKSON
-----------------------------------------------------
State | MS
-----------------------------------------------------
Zip | 39204-2707
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 601-500-2542
-----------------------------------------------------
Fax | 769-208-8014
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1206 COX ST
-----------------------------------------------------
City | JACKSON
-----------------------------------------------------
State | MS
-----------------------------------------------------
Zip | 39204-2707
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 601-500-2542
-----------------------------------------------------
Fax | 769-208-8014
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | RN/OWNER
-----------------------------------------------------
Name | MISS RUBY D WILSON
-----------------------------------------------------
Credential | RN
-----------------------------------------------------
Telephone | 601-500-2542
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number | R898458
-----------------------------------------------------
License Number State | MS
-----------------------------------------------------