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General NPI Number Information
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NPI Number | 1801764931
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Entity Type | Organization
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Legal Business Name | HEARTWELL HOME HEALTH CARE CORP.
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Dates
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Enumeration Date | 10/29/2025
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Last Update Date | 10/29/2025
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Provider Practice Location Address
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Address Line | 2500 NW 79TH AVE STE 115-117
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City | DORAL
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State | FL
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Zip | 33122-1073
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Country | US
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Telephone | 305-591-7898
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Fax | 305-591-7112
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Provider Business Mailing Address
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Address Line | 2500 NW 79TH AVE STE 115-117
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City | DORAL
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State | FL
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Zip | 33122-1073
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Country | US
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Telephone | 305-591-7898
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Fax | 305-591-7112
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Authorized Official
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Title or Position | CFO
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Name | CLEMENTE SIERRA
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Credential |
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Telephone | 786-542-5338
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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