Organization Active NPI

Heart 2 Heart Home Care, Inc.

  • In Home Supportive Care Agency
  • Hammond, IN
National Provider Identifier
1902282296
Registry record updated Feb 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
4000435 Issued in IL
Legal business name
HEART 2 HEART HOME CARE, INC.
Practice address
200 Russell St Ste 301
Suite 201
Hammond, IN 46320-1825
Phone
(219) 501-7015
Fax
(219) 501-7030
NPI assigned
Aug 10, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2016

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

Authorized official

Name
Debra Johnson, LPN
Title
Ceo
Phone
(678) 814-9007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 4000435 IL Primary

Addresses

Primary practice location

200 Russell St Ste 301
Suite 201
Hammond, IN 46320-1825

Mailing address

200 Russell St
Suite 301
Hammond, IN 46320-1815
Phone (219) 501-7015

Other identifiers 1

IdentifierTypeStateIssuer
000895452CMedicaidGA

National Provider Directory

National Provider Directory
Tax ID family
Heart 2 Heart Home Care Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

200 Russell St
Ste 301
Hammond, IN 46320
Phone (219) 501-7015

NPI Registry JSON

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

{
    "created_epoch": "1439164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456704000000",
    "number": "1902282296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 RUSSELL ST",
            "address_2": "SUITE 301",
            "city": "HAMMOND",
            "state": "IN",
            "postal_code": "463201815",
            "telephone_number": "219-501-7015",
            "fax_number": "219-501-7030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 RUSSELL ST STE 301",
            "address_2": "SUITE 201",
            "city": "HAMMOND",
            "state": "IN",
            "postal_code": "463201825",
            "telephone_number": "219-501-7015",
            "fax_number": "219-501-7030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART 2 HEART HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-10",
        "last_updated": "2016-02-29",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-814-9007",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "IL",
            "license": "4000435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000895452C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 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.