Organization
HEAVENS HEART HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAKESHA ROSS (DIRECTOR)
(267) 815-4132
Entity
Organization
Contact information
Practice address
100 S JUNIPER ST FL 3, PHILADELPHIA, PA 19107-1316
(267) 815-4132
Mailing address
113 PLYMOUTH PL, MIDDLETOWN, DE 19709-8314
(267) 815-4132
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104044820-0001
MEDICARE
PA
05
—
104044820-0001
—
PA
Enumeration date
01/19/2022
Last updated
02/15/2023
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