# HEART TO HEART FAMILY CARE HOME

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Supportiv Hearts
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194344341
- **Authorized official:** CASSANDRA DAVIS (OWNER/ADMINISTRATOR)
- **Authorized official phone:** (252) 915-6654

## Contact information

- **Practice address:** 131 HUNTINGTON RD, LOUISBURG, NC 27549-7435
- **Practice address phone:** (252) 915-6654
- **Mailing address:** 502 FORD CIR, LOUISBURG, NC 27549-2230

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 04/08/2020
- **Last updated:** 05/05/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | FCL035033 | — | NC |