Provider Demographics
NPI:1679170534
Name:HEART HOME HEALTH INC
Entity type:Organization
Organization Name:HEART HOME HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO/HR
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRANDY
Authorized Official - Middle Name:RAY
Authorized Official - Last Name:HAYWORTH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-440-0283
Mailing Address - Street 1:200 COLORADO AVE APT 2105
Mailing Address - Street 2:
Mailing Address - City:PARACHUTE
Mailing Address - State:CO
Mailing Address - Zip Code:81635-9615
Mailing Address - Country:US
Mailing Address - Phone:970-440-0283
Mailing Address - Fax:
Practice Address - Street 1:200 COLORADO AVE APT 2105
Practice Address - Street 2:
Practice Address - City:PARACHUTE
Practice Address - State:CO
Practice Address - Zip Code:81635-9615
Practice Address - Country:US
Practice Address - Phone:970-440-0283
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-05
Last Update Date:2020-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care