Organization
HEART 2 HEART HOME CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA JOHNSON LPN (CEO)
(678) 814-9007
Entity
Organization
Contact information
Practice address
200 RUSSELL ST STE 301, SUITE 201, HAMMOND, IN 46320-1825
(219) 501-7015
(219) 501-7030
Mailing address
200 RUSSELL ST, SUITE 301, HAMMOND, IN 46320-1815
(219) 501-7015
(219) 501-7030
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
4000435
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000895452C
—
GA
Enumeration date
08/10/2015
Last updated
02/29/2016
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