MEDICARE: DESIRE HEARTS HOMECARE 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	343900000X	Non-emergency Medical Transport (VAN)
2	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1215888185
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DESIRE HEARTS HOMECARE LLC

Provider Business Mailing Address
First Line	:	169 E REYNOLDS RD
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40517-1270
Country	:	US
Telephone Number	:	859-303-5104
Fax Number	:	877-934-2359

Provider Business Practice Location Address
First Line	:	169 E REYNOLDS RD
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40517-1270
Country	:	US
Telephone Number	:	859-303-5104
Fax Number	:	877-934-2359

Authorized Official
Title or Position	:	OWNER/ADMINISTRATOR
Name	:	MS. SHMIEKA HURST
Credential	:
Telephone Number	:	859-303-5105

Provider Enumeration Date	:	02/06/2026
Last Update Date	:	02/06/2026

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Directions to “DESIRE HEARTS HOMECARE LLC ” Practice Location

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