Organization Name: | HEAVENLY HEARTS SERVICES LLC |
NPI Number: | 1487023602 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JANETH RODRIGUEZ (OWNER) |
Mailing Address: | 2565 N Toledo Blade Blvd Unit 1 North Port |
State: | FL US |
Postal Code: | 342899306 |
Phone Number: | 9415258945 |
Fax Number: | |
NPI Enumeration Date: | 09/17/2015 |
NPI Last Update Date: | 09/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | 232623 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |