Provider Demographics
NPI:1487165668
Name:HANDS WITH HEART HOME COMPANION CARE SERVICES
Entity type:Organization
Organization Name:HANDS WITH HEART HOME COMPANION CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:ERIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:321-960-3907
Mailing Address - Street 1:1045 KINGFISHER WAY
Mailing Address - Street 2:
Mailing Address - City:ROCKLEDGE
Mailing Address - State:FL
Mailing Address - Zip Code:32955-4186
Mailing Address - Country:US
Mailing Address - Phone:321-960-3907
Mailing Address - Fax:321-251-1737
Practice Address - Street 1:1045 KINGFISHER WAY
Practice Address - Street 2:
Practice Address - City:ROCKLEDGE
Practice Address - State:FL
Practice Address - Zip Code:32955-4186
Practice Address - Country:US
Practice Address - Phone:321-960-3907
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-16
Last Update Date:2017-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty