Provider Demographics
NPI:1366136640
Name:HEART'S DESIRE HOMEMAKER & COMPANION SERVICES
Entity type:Organization
Organization Name:HEART'S DESIRE HOMEMAKER & COMPANION SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ADREIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:FLUELLEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-735-8065
Mailing Address - Street 1:333 3RD AVE N # 200B
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33701-3899
Mailing Address - Country:US
Mailing Address - Phone:866-735-8065
Mailing Address - Fax:727-202-7331
Practice Address - Street 1:333 3RD AVE N # 200B
Practice Address - Street 2:
Practice Address - City:SAINT PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33701-3899
Practice Address - Country:US
Practice Address - Phone:866-735-8065
Practice Address - Fax:727-202-7331
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-08
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)