# DEDICATED HEARTS LLC

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

## Provider details

- **NPI number:** 1467125849
- **Authorized official:** BRIAN KELLEY (OWNER)
- **Authorized official phone:** (757) 956-5251

## Contact information

- **Practice address:** 5635 RABY RD STE D, NORFOLK, VA 23502-2465
- **Practice address phone:** (757) 956-5251
- **Practice address fax:** (757) 956-5283
- **Mailing address:** 5635 RABY RD STE D, NORFOLK, VA 23502-2465
- **Mailing address phone:** (757) 956-5251
- **Mailing address fax:** (757) 956-5283

## 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:** 07/30/2021
- **Last updated:** 09/27/2021