Heart to Heart Family Care Home

Organization Active NPI Adult Care Home Facility · Louisburg, NC

NPI 1194344341 · NPPES record last updated May 5, 2023

Key facts

NPI
1194344341
Entity type
Organization (NPI type 2)
Primary specialty
Adult Care Home Facility 311ZA0620X
Legal business name
HEART TO HEART FAMILY CARE HOME
Practice address
131 Huntington Rd
Louisburg, NC 27549-7435
Phone
(252) 915-6654
NPI assigned
Apr 8, 2020
Organization subpart
No

Authorized official

Name
Cassandra Davis
Title
Owner/Administrator
Phone
(252) 915-6654

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Adult Mental Health Clinic/Center 261QM0850X
Adult Care Home Facility 311ZA0620X Yes

Addresses

Primary practice location

131 Huntington Rd
Louisburg, NC 27549-7435

Mailing address

502 Ford Cir
Louisburg, NC 27549-2230

Other identifiers

IdentifierTypeStateIssuer
FCL035033MedicaidNC

Other names

  • Supportiv Hearts Doing business as

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL c.davis_88@yahoo.com

Other providers in Louisburg, NC

All providers in Louisburg, NC · Adult Care Home Facility in North Carolina

Sources for this page

Verify at the official NPI Registry.