MEDICARE: HEART TO HEART HOME PLUS

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	311ZA0620X	Adult Care Home Facility	B030008	KS

General Provider Information

NPI Number	:	1376687855
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEART TO HEART HOME PLUS

Provider Business Mailing Address
First Line	:	3600 COLORADO RD
Second Line	:
City	:	POMONA
State	:	KS
Zip	:	66076-9449
Country	:	US
Telephone Number	:	785-566-8464
Fax Number	:

Provider Business Practice Location Address
First Line	:	3600 COLORADO RD
Second Line	:
City	:	POMONA
State	:	KS
Zip	:	66076-9449
Country	:	US
Telephone Number	:	785-566-8464
Fax Number	:

Authorized Official
Title or Position	:	OWNER OPERATOR
Name	:	VELDA JANE WILSON
Credential	:
Telephone Number	:	785-566-8464

Provider Enumeration Date	:	02/16/2007
Last Update Date	:	08/22/2020

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Directions to “HEART TO HEART HOME PLUS ” Practice Location

Language	Start Address	Practice Location

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