Organization
HEART TO HEART HOSPICE OF NORTHERN INDIANA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KELLY O MITCHELL (MANAGER)
(972) 517-6300
Entity
Organization
Contact information
Practice address
602 W EDISON ROAD, SUITE 122, MISHAWAKA, IN 46545-2784
(574) 855-4475
(574) 204-2344
Mailing address
7240 CHASE OAKS BLVD, PLANO, TX 75025-5901
(972) 517-6300
(972) 517-6301
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
14-012545-1
IN
251G00000X
Community Based Hospice Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2011506608
—
IN
Enumeration date
07/26/2010
Last updated
05/16/2018
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