MEDICARE: HEARTS ON THE MOVE

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	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1205441813
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEARTS ON THE MOVE

Provider Business Mailing Address
First Line	:	7909 W GRAND PKWY S STE 443
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77407-8645
Country	:	US
Telephone Number	:	832-279-4849
Fax Number	:	281-762-4584

Provider Business Practice Location Address
First Line	:	7909 W GRAND PKWY S STE 443
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77407-8645
Country	:	US
Telephone Number	:	832-279-4849
Fax Number	:	281-762-4584

Authorized Official
Title or Position	:	OWNER/EXECUTIVE DIRECTOR
Name	:	CHARMETTE JONES
Credential	:
Telephone Number	:	832-279-4849

Provider Enumeration Date	:	09/10/2020
Last Update Date	:	09/10/2020

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Directions to “HEARTS ON THE MOVE ” Practice Location

Language	Start Address	Practice Location

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