MEDICARE: HEARTHSTONE HEALTHCARE

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	HC 2954	NC
2	251E00000X	Home Health Agency	HC 2049	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1730174848
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEARTHSTONE HEALTHCARE

Provider Business Mailing Address
First Line	:	PO BOX 584
Second Line	:
City	:	CANDLER
State	:	NC
Zip	:	28715-0584
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9 ASBURY RD
Second Line	:	SUITE 202
City	:	CANDLER
State	:	NC
Zip	:	28715-9639
Country	:	US
Telephone Number	:	828-665-6526
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	JULIE STRUM
Credential	:
Telephone Number	:	828-665-6526

Provider Enumeration Date	:	09/14/2005
Last Update Date	:	08/22/2020

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Directions to “HEARTHSTONE HEALTHCARE ” Practice Location

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