MEDICARE: HEART TO HEART HOME 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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1619746682
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEART TO HEART HOME CARE LLC

Provider Business Mailing Address
First Line	:	6135 CASTLEFORD DR APT B
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46203-6270
Country	:	US
Telephone Number	:	317-702-7219
Fax Number	:

Provider Business Practice Location Address
First Line	:	6433 E WASHINGTON ST STE 121
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46219-6627
Country	:	US
Telephone Number	:	317-702-7219
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	LATOYA D NELSON
Credential	:	OWER
Telephone Number	:	317-702-7219

Provider Enumeration Date	:	01/01/2024
Last Update Date	:	01/01/2024

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