MEDICARE: HEALING HEARTS HEALTHCARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1184577173
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALING HEARTS HEALTHCARE LLC

Provider Business Mailing Address
First Line	:	2716 GRAND FOUNTAINS DR UNIT F
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-1485
Country	:	US
Telephone Number	:	346-888-7235
Fax Number	:

Provider Business Practice Location Address
First Line	:	2716 GRAND FOUNTAINS DR UNIT F
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-1485
Country	:	US
Telephone Number	:	346-888-7235
Fax Number	:

Authorized Official
Title or Position	:	OWNER/ADMINISTRATOR
Name	:	OSARENOMA RACHAEL EDOSOMWAN
Credential	:
Telephone Number	:	346-888-7235

Provider Enumeration Date	:	02/18/2026
Last Update Date	:	02/18/2026

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