Provider Demographics
NPI:1306667449
Name:ALLHEART HOME HEALTH CARE, LLC
Entity type:Organization
Organization Name:ALLHEART HOME HEALTH CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:RAPHERNEST
Authorized Official - Middle Name:
Authorized Official - Last Name:ODOEMENE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-247-4984
Mailing Address - Street 1:160 GRAY ST
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24541-2941
Mailing Address - Country:US
Mailing Address - Phone:919-247-4984
Mailing Address - Fax:
Practice Address - Street 1:160 GRAY ST
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:VA
Practice Address - Zip Code:24541-2941
Practice Address - Country:US
Practice Address - Phone:919-247-4984
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-22
Last Update Date:2024-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health