Organization Active NPI

Heart to Heart PCS Agency

  • Home Health Agency
  • Olive Branch, MS
National Provider Identifier
1558726596
Registry record updated Jan 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
25100000X Issued in MS
Legal business name
HEART TO HEART PCS AGENCY
Practice address
6814 Crumpler Blvd # 201-D
Olive Branch, MS 38654-1905
Phone
(662) 932-2147
Fax
(662) 932-2148
NPI assigned
Dec 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Carrie A Kennedy
Title
President/Ceo
Phone
(901) 756-5918

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 25100000X MS Primary

Addresses

Primary practice location

6814 Crumpler Blvd # 201-D
Olive Branch, MS 38654-1905

Mailing address

6814 Crumpler Blvd # 201-D
Olive Branch, MS 38654-1905
Phone (662) 932-2147

National Provider Directory

National Provider Directory

Locations

6814 Crumpler Blvd
Ste 201D
Olive Branch, MS 38654
Phone (662) 932-2147

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1450310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454025600000",
    "number": "1558726596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6814 CRUMPLER BLVD # 201-D",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386541905",
            "telephone_number": "662-932-2147",
            "fax_number": "662-932-2148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6814 CRUMPLER BLVD # 201-D",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386541905",
            "telephone_number": "662-932-2147",
            "fax_number": "662-932-2148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART TO HEART PCS AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-17",
        "last_updated": "2016-01-29",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "901-756-5918",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MS",
            "license": "25100000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olive Branch, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.