=====================================================
General NPI Number Information
=====================================================
NPI Number | 1548153174
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HEART 2 HEART HOME CARE AGENCY LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/02/2025
-----------------------------------------------------
Last Update Date | 06/02/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 325 JOHN KNOX RD BLDG 500
-----------------------------------------------------
City | TALLAHASSEE
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32303-4124
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 850-365-9967
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 325 JOHN KNOX RD BLDG 500
-----------------------------------------------------
City | TALLAHASSEE
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32303-4124
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 850-365-9967
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | BETTYE J LOVETT
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 850-365-9967
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 253Z00000X
-----------------------------------------------------
Taxonomy Name | In Home Supportive Care Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------