| Organization Name: | HEART TO HEART PROVIDER LLC |
| NPI Number: | 1083093694 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LATOSHA S RIDER (AUTHORIZED OFFICIAL) |
| Mailing Address: | 3836 Morning Springs Trl Dallas |
| State: | TX US |
| Postal Code: | 752245014 |
| Phone Number: | 2147141386 |
| Fax Number: | 7024465164 |
| NPI Enumeration Date: | 05/28/2015 |
| NPI Last Update Date: | 06/09/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | In Home Supportive Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |