Provider Demographics
NPI:1972206399
Name:HEARTS OF HOPE HEALTHCARE LLC
Entity type:Organization
Organization Name:HEARTS OF HOPE HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHARVESA
Authorized Official - Middle Name:V
Authorized Official - Last Name:STEWART
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:954-496-0242
Mailing Address - Street 1:3350 W HILLSBOROUGH AVE APT 1037
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33614-5883
Mailing Address - Country:US
Mailing Address - Phone:954-496-0242
Mailing Address - Fax:
Practice Address - Street 1:3350 W HILLSBOROUGH AVE APT 1037
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33614-5883
Practice Address - Country:US
Practice Address - Phone:954-496-0242
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-24
Last Update Date:2023-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service