=====================================================
General NPI Number Information
=====================================================
NPI Number | 1497544522
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HEARTFELT HOME CARE
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/05/2025
-----------------------------------------------------
Last Update Date | 05/05/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 261 N UNIVERSITY DR STE 500
-----------------------------------------------------
City | PLANTATION
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33324-2009
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 754-262-5407
-----------------------------------------------------
Fax | 954-727-5463
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 191 NW 46TH TER
-----------------------------------------------------
City | PLANTATION
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33317-3150
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 954-770-8879
-----------------------------------------------------
Fax | 954-727-5463
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | REBECCA DIANNA EDME
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 954-770-8879
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 253Z00000X
-----------------------------------------------------
Taxonomy Name | In Home Supportive Care Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------