Provider Demographics
NPI:1063875615
Name:FROM OUR HEARTS HOME HEALTHCARE PROFESSIONALS LLC
Entity type:Organization
Organization Name:FROM OUR HEARTS HOME HEALTHCARE PROFESSIONALS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RACHEAL
Authorized Official - Middle Name:T
Authorized Official - Last Name:JAMES
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:678-961-5964
Mailing Address - Street 1:5877 HOMESTEAD CIR
Mailing Address - Street 2:
Mailing Address - City:REX
Mailing Address - State:GA
Mailing Address - Zip Code:30273-1368
Mailing Address - Country:US
Mailing Address - Phone:678-961-5964
Mailing Address - Fax:
Practice Address - Street 1:5877 HOMESTEAD CIR
Practice Address - Street 2:
Practice Address - City:REX
Practice Address - State:GA
Practice Address - Zip Code:30273-1368
Practice Address - Country:US
Practice Address - Phone:678-961-5964
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-31
Last Update Date:2016-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health