Provider Demographics
NPI:1285804310
Name:HEART TO HEART COMPANION CAREGIVER LLC
Entity type:Organization
Organization Name:HEART TO HEART COMPANION CAREGIVER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR, OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CATHY
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:RN, FNP
Authorized Official - Phone:831-656-0689
Mailing Address - Street 1:801 LIGHTHOUSE AVE
Mailing Address - Street 2:212
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-1046
Mailing Address - Country:US
Mailing Address - Phone:831-241-3869
Mailing Address - Fax:831-656-0689
Practice Address - Street 1:801 LIGHTHOUSE AVE # 212
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-1046
Practice Address - Country:US
Practice Address - Phone:831-241-3869
Practice Address - Fax:831-656-0689
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-05
Last Update Date:2010-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health