Provider Demographics
NPI:1396314720
Name:EMBRACING HEARTS HEALTHCARE
Entity type:Organization
Organization Name:EMBRACING HEARTS HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:GALDINO
Authorized Official - Suffix:
Authorized Official - Credentials:BSN, RN
Authorized Official - Phone:601-341-6452
Mailing Address - Street 1:1412 DELAWARE AVE # 304
Mailing Address - Street 2:
Mailing Address - City:MCCOMB
Mailing Address - State:MS
Mailing Address - Zip Code:39648-3606
Mailing Address - Country:US
Mailing Address - Phone:601-600-2254
Mailing Address - Fax:
Practice Address - Street 1:119 WEST AVENUE N.
Practice Address - Street 2:
Practice Address - City:MCCOMB
Practice Address - State:MS
Practice Address - Zip Code:39648
Practice Address - Country:US
Practice Address - Phone:601-600-2254
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EMBRACING HEARTS PEDIATRIC SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-06-21
Last Update Date:2021-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No251E00000XAgenciesHome Health
No385HR2065XRespite Care FacilityRespite CareRespite Care, Physical Disabilities, Child