Provider Demographics
NPI:1528843836
Name:HEARTS TO HANDS PERSONAL SUPPORT
Entity type:Organization
Organization Name:HEARTS TO HANDS PERSONAL SUPPORT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICE
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-486-6906
Mailing Address - Street 1:7935 RENAULT DR S
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32244-1331
Mailing Address - Country:US
Mailing Address - Phone:904-486-6906
Mailing Address - Fax:
Practice Address - Street 1:11539 ASHLEY MANOR WAY
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32225-1073
Practice Address - Country:US
Practice Address - Phone:904-486-6906
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-28
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty