MEDICARE: HEART 2 HEART HOME HEALTHCARE AGENCY INC.

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	299992073	FL

General Provider Information

NPI Number	:	1356453385
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEART 2 HEART HOME HEALTHCARE AGENCY INC.

Provider Business Mailing Address
First Line	:	2331 N STATE ROAD 7
Second Line	:	STE 102
City	:	LAUDERDALE LAKES
State	:	FL
Zip	:	33313-3748
Country	:	US
Telephone Number	:	954-580-1080
Fax Number	:	954-580-1081

Provider Business Practice Location Address
First Line	:	2331 N STATE ROAD 7
Second Line	:	STE 102
City	:	LAUDERDALE LAKES
State	:	FL
Zip	:	33313-3748
Country	:	US
Telephone Number	:	954-580-1080
Fax Number	:	954-580-1081

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MISS MARVA MARTINEAU
Credential	:
Telephone Number	:	954-667-0657

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	04/27/2009

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