# HEART AT HOME, LLC

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

## Provider details

- **NPI number:** 1568947729
- **Authorized official:** DENICKA FOSTER (OPERATIONS MANAGER)
- **Authorized official phone:** (574) 213-8616

## Contact information

- **Practice address:** 53211 KINGLET LN, SOUTH BEND, IN 46637-5112
- **Practice address phone:** (574) 213-8616
- **Mailing address:** PO BOX 4022, SOUTH BEND, IN 46634-4022
- **Mailing address phone:** (574) 213-8616

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 10/03/2018
- **Last updated:** 10/03/2018