# HEALTHY HEART HOME CARE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275929804
- **Authorized official:** MS. KELLI FONVERGNE (OWNER/DPCS)
- **Authorized official phone:** (310) 542-5555

## Contact information

- **Practice address:** 15901 HAWTHORNE BL, STE. 410, LAWNDALE, CA 90260
- **Practice address phone:** (310) 542-5555
- **Practice address fax:** (310) 542-4555
- **Mailing address:** 15901 HAWTHORNE BL, STE. 410, LAWNDALE, CA 90260
- **Mailing address phone:** (310) 542-5555
- **Mailing address fax:** (310) 542-4555

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 04/10/2015
- **Last updated:** 04/10/2015