Provider Demographics
NPI:1467273938
Name:HEART TO SERVE HOME CARE LLC
Entity type:Organization
Organization Name:HEART TO SERVE HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:
Authorized Official - Last Name:HAYES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-809-2601
Mailing Address - Street 1:7022 W 10TH ST STE A1077
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46214-3501
Mailing Address - Country:US
Mailing Address - Phone:317-721-7222
Mailing Address - Fax:
Practice Address - Street 1:7022 W 10TH ST STE A1077
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46214-3501
Practice Address - Country:US
Practice Address - Phone:317-721-7222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-17
Last Update Date:2024-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care