MEDICARE: HOME HEALTH WITH HEART, 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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1265286207
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOME HEALTH WITH HEART, LLC

Provider Business Mailing Address
First Line	:	7201 SUMMERLAND RIDGE RD NE
Second Line	:
City	:	CEDAR RAPIDS
State	:	IA
Zip	:	52402-7214
Country	:	US
Telephone Number	:	319-389-9350
Fax Number	:

Provider Business Practice Location Address
First Line	:	2616 1ST AVE NE
Second Line	:
City	:	CEDAR RAPIDS
State	:	IA
Zip	:	52402-4945
Country	:	US
Telephone Number	:	319-826-6608
Fax Number	:	319-826-6611

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. STEPHANIE HUMPHRIES
Credential	:	MPT
Telephone Number	:	319-389-9350

Provider Enumeration Date	:	04/16/2024
Last Update Date	:	04/05/2025

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