Provider Demographics
NPI:1124613559
Name:HEART TO HEART MEDICAL TRANSPORT LLC
Entity type:Organization
Organization Name:HEART TO HEART MEDICAL TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DEANDRE
Authorized Official - Middle Name:
Authorized Official - Last Name:KIMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-696-1583
Mailing Address - Street 1:2592 S HAIRSTON RD STE 102
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30035-2917
Mailing Address - Country:US
Mailing Address - Phone:679-696-1583
Mailing Address - Fax:
Practice Address - Street 1:2592 S HAIRSTON RD STE 102
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30035-2917
Practice Address - Country:US
Practice Address - Phone:679-696-1583
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-08
Last Update Date:2021-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport