# HEAVENLY HEARTS HOME HEALTHCARE LLC

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

## Provider details

- **NPI number:** 1447958632
- **Authorized official:** EVANGELINE HODGES (OWNER)
- **Authorized official phone:** (757) 295-6104

## Contact information

- **Practice address:** 6128 BRADFORD DR UNIT A, SUFFOLK, VA 23435-2882
- **Practice address phone:** (757) 295-6104
- **Mailing address:** 6128 BRADFORD DR UNIT A, SUFFOLK, VA 23435-2882
- **Mailing address phone:** (757) 295-6104

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 3747P1801X | Personal Care Attendant | — | NULL | — |
| 3747P1801X | Personal Care Attendant | — | — | — |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 02/17/2023
- **Last updated:** 05/16/2024