MEDICARE: A HEART 2 HOME RESIDENTIAL CARE 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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1467173815
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A HEART 2 HOME RESIDENTIAL CARE LLC

Provider Business Mailing Address
First Line	:	405 E LABURNUM AVE # 4
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23222-2120
Country	:	US
Telephone Number	:	804-415-7525
Fax Number	:	804-415-7713

Provider Business Practice Location Address
First Line	:	405 E LABURNUM AVE # 4
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23222-2120
Country	:	US
Telephone Number	:	804-415-7525
Fax Number	:	804-415-7713

Authorized Official
Title or Position	:	ASSISTANT ADMINISTRATOR
Name	:	ROSA PLUMMER
Credential	:
Telephone Number	:	804-415-7525

Provider Enumeration Date	:	09/05/2022
Last Update Date	:	09/05/2022

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