Provider Demographics
NPI:1396517983
Name:HEARTLAND COMMUNITY CAREGIVERS LLC
Entity type:Organization
Organization Name:HEARTLAND COMMUNITY CAREGIVERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:
Authorized Official - Last Name:DELOACH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-744-0745
Mailing Address - Street 1:679 WASHINGTON ST UNIT 8-219
Mailing Address - Street 2:
Mailing Address - City:SOUTH ATTLEBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02703-8406
Mailing Address - Country:US
Mailing Address - Phone:401-744-0745
Mailing Address - Fax:
Practice Address - Street 1:679 WASHINGTON ST UNIT 8-219
Practice Address - Street 2:
Practice Address - City:SOUTH ATTLEBORO
Practice Address - State:MA
Practice Address - Zip Code:02703-8406
Practice Address - Country:US
Practice Address - Phone:401-744-0745
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-26
Last Update Date:2023-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care