MEDICARE: HEART TO HOMES COMPANION CARE SERVICES, 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	:	1306471057
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEART TO HOMES COMPANION CARE SERVICES, LLC.

Provider Business Mailing Address
First Line	:	18903 PEBBLE LINKS CIR APT 306
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33647-1893
Country	:	US
Telephone Number	:	404-849-1971
Fax Number	:

Provider Business Practice Location Address
First Line	:	18903 PEBBLE LINKS CIR APT 306
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33647-1893
Country	:	US
Telephone Number	:	404-849-1971
Fax Number	:

Authorized Official
Title or Position	:	OWNER/OPERATOR
Name	:	TRAVIYON BIGBY
Credential	:
Telephone Number	:	404-849-1971

Provider Enumeration Date	:	03/03/2020
Last Update Date	:	05/19/2020

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