MEDICARE: SERVANT'S HEART, 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)

General Provider Information

NPI Number	:	1780537035
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SERVANT'S HEART, LLC

Provider Business Mailing Address
First Line	:	5414 SIDE RD
Second Line	:
City	:	PRESCOTT
State	:	AZ
Zip	:	86301-8465
Country	:	US
Telephone Number	:	928-777-5512
Fax Number	:	928-441-1775

Provider Business Practice Location Address
First Line	:	2902 N TARRA AVE
Second Line	:
City	:	PRESCOTT
State	:	AZ
Zip	:	86301-4952
Country	:	US
Telephone Number	:	928-777-5512
Fax Number	:

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MADISON HIGHT
Credential	:
Telephone Number	:	928-777-5512

Provider Enumeration Date	:	02/17/2026
Last Update Date	:	02/17/2026

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Directions to “SERVANT'S HEART, LLC ” Practice Location

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