Provider Demographics
NPI:1699483016
Name:HEARTS OF HOPE COMFORT CARE LLC
Entity type:Organization
Organization Name:HEARTS OF HOPE COMFORT CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CICELY
Authorized Official - Middle Name:SIOBON
Authorized Official - Last Name:SULLIVAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-248-0573
Mailing Address - Street 1:3575 RUTHERFORD ROAD EXT STE A
Mailing Address - Street 2:
Mailing Address - City:TAYLORS
Mailing Address - State:SC
Mailing Address - Zip Code:29687-2168
Mailing Address - Country:US
Mailing Address - Phone:864-248-0573
Mailing Address - Fax:864-248-0046
Practice Address - Street 1:3575 RUTHERFORD ROAD EXT STE A
Practice Address - Street 2:
Practice Address - City:TAYLORS
Practice Address - State:SC
Practice Address - Zip Code:29687-2168
Practice Address - Country:US
Practice Address - Phone:864-248-0573
Practice Address - Fax:864-248-0046
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-15
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care