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NPI Code Detail

MEDICARE: HEARTFELT HOME HEALTHCARE SERVICES, INC.

MEDICARE: HEARTFELT HOME HEALTHCARE SERVICES, 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
1253Z00000XIn Home Supportive Care Agency20873601PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
121653601OTHERPAPA HOME CARE LICENSE

General Provider Information

NPI Number : 1689956989
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEARTFELT HOME HEALTHCARE SERVICES, INC.
Provider Business Mailing Address
First Line : PO BOX 8517
Second Line :
City : ERIE
State : PA
Zip : 16505-0517
Country : US
Telephone Number : 814-838-2743
Fax Number : 814-835-1320
Provider Business Practice Location Address
First Line : 18279 CONNEAUT LAKE RD
Second Line :
City : MEADVILLE
State : PA
Zip : 16335-3759
Country : US
Telephone Number : 814-337-8383
Fax Number : 814-337-8380
Authorized Official
Title or Position : VICE PRESIDENT
Name : SCOTT TEETER
Credential :
Telephone Number : 814-838-2743
Provider Enumeration Date : 09/13/2011
Last Update Date : 08/24/2015

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Directions to “HEARTFELT HOME HEALTHCARE SERVICES, INC. ” Practice Location

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