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Organization

HEARTIVIA CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. DAMOYA TENESHA HALL-REID (OWNER)
(347) 548-0477
Entity
Organization

Contact information

Practice address
13412 225TH ST, LAURELTON, NY 11413-2039
(347) 548-0477
Mailing address
13412 225TH ST, LAURELTON, NY 11413-2039
(347) 548-0477

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
253Z00000X
In Home Supportive Care Agency
Primary
343900000X
Non-emergency Medical Transport (VAN)
347C00000X
Private Vehicle
Primary

Other

Enumeration date
03/24/2026
Last updated
08/07/2026
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