Provider Demographics
NPI:1962766519
Name:HEART-TO-HEART HOME & COMMUNITY CARE, LLC
Entity type:Organization
Organization Name:HEART-TO-HEART HOME & COMMUNITY CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:PHYLLIS
Authorized Official - Middle Name:R
Authorized Official - Last Name:GYSAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:419-502-4663
Mailing Address - Street 1:1717 E PERKINS AVE
Mailing Address - Street 2:SUITE 205
Mailing Address - City:SANDUSKY
Mailing Address - State:OH
Mailing Address - Zip Code:44870-7919
Mailing Address - Country:US
Mailing Address - Phone:419-502-4663
Mailing Address - Fax:419-502-0059
Practice Address - Street 1:1717 E PERKINS AVE
Practice Address - Street 2:SUITE 205
Practice Address - City:SANDUSKY
Practice Address - State:OH
Practice Address - Zip Code:44870-7919
Practice Address - Country:US
Practice Address - Phone:419-502-4663
Practice Address - Fax:419-502-0059
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-28
Last Update Date:2012-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251300000XAgenciesLocal Education Agency (LEA)