Heart to Heart Provision Healthcare, LLC

Organization Active NPI Home Health Registered Nurse · Monticello, MS

NPI 1851048003 · NPPES record last updated Apr 20, 2022

Key facts

NPI
1851048003
Entity type
Organization (NPI type 2)
Primary specialty
Home Health Registered Nurse 163WH0200X
Legal business name
HEART TO HEART PROVISION HEALTHCARE, LLC
Practice address
1132 E Broad St
Monticello, MS 39654-7681
Phone
(601) 695-2452
NPI assigned
Mar 8, 2022
Organization subpart
No

Authorized official

Name
Trinity C Brown, RN
Title
Clinical Director
Phone
(601) 695-2452

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
Home Health Registered Nurse
Group: 193200000X MULTI-SPECIALTY GROUP
163WH0200X Yes
Licensed Practical Nurse
Group: 193200000X MULTI-SPECIALTY GROUP
164W00000X
Home Health Aide
Group: 193200000X MULTI-SPECIALTY GROUP
374U00000X

Addresses

Primary practice location

1132 E Broad St
Monticello, MS 39654-7681

Mailing address

1132 E Broad St
Monticello, MS 39654-7681
Phone (601) 695-2452

Other providers in Monticello, MS

All providers in Monticello, MS · Home Health Registered Nurse in Mississippi

Sources for this page

Verify at the official NPI Registry.