Provider Demographics
NPI:1285926956
Name:SHARING HEARTS HOME HEALTHCARE LLC
Entity type:Organization
Organization Name:SHARING HEARTS HOME HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BERNARD
Authorized Official - Middle Name:J
Authorized Official - Last Name:NORTHAM
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:540-737-4521
Mailing Address - Street 1:112 JULIAD CT
Mailing Address - Street 2:205
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22406-1219
Mailing Address - Country:US
Mailing Address - Phone:540-737-5421
Mailing Address - Fax:540-737-4522
Practice Address - Street 1:112 JULIAD CT
Practice Address - Street 2:205
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22406-1219
Practice Address - Country:US
Practice Address - Phone:540-737-5421
Practice Address - Fax:540-737-4522
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-12
Last Update Date:2011-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAT62761367343800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)