Provider Demographics
NPI:1285965400
Name:HEART TO HEART HOME CARE
Entity type:Organization
Organization Name:HEART TO HEART HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:IDA
Authorized Official - Middle Name:MITCHELL
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:252-636-2774
Mailing Address - Street 1:1829 OLD AIRPORT RD
Mailing Address - Street 2:
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28562-9453
Mailing Address - Country:US
Mailing Address - Phone:252-636-2774
Mailing Address - Fax:252-638-1116
Practice Address - Street 1:1829 OLD AIRPORT ROAD
Practice Address - Street 2:
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28562-9453
Practice Address - Country:US
Practice Address - Phone:252-636-2774
Practice Address - Fax:252-638-1116
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-28
Last Update Date:2010-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1013032788Medicaid
NC1069396961Medicaid