Provider Demographics
NPI:1366230237
Name:JULIA'S HEART HOME CARE AGENCY LLC
Entity type:Organization
Organization Name:JULIA'S HEART HOME CARE AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DEONKA
Authorized Official - Middle Name:
Authorized Official - Last Name:BRYANT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:810-221-3410
Mailing Address - Street 1:6272 S SAGINAW RD # 1086
Mailing Address - Street 2:
Mailing Address - City:GRAND BLANC
Mailing Address - State:MI
Mailing Address - Zip Code:48439-2705
Mailing Address - Country:US
Mailing Address - Phone:800-771-6340
Mailing Address - Fax:
Practice Address - Street 1:6170 EASTKNOLL DR
Practice Address - Street 2:
Practice Address - City:GRAND BLANC
Practice Address - State:MI
Practice Address - Zip Code:48439-5004
Practice Address - Country:US
Practice Address - Phone:800-771-6340
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-29
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty