Provider Demographics
NPI:1487807293
Name:HEART OF HUMANITY HEALTH SERVICES, INC
Entity type:Organization
Organization Name:HEART OF HUMANITY HEALTH SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:VERLINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:MONTOYA
Authorized Official - Suffix:
Authorized Official - Credentials:MHSA/MS/RN
Authorized Official - Phone:415-898-4278
Mailing Address - Street 1:1400 GRANT AVE STE 203
Mailing Address - Street 2:
Mailing Address - City:NOVATO
Mailing Address - State:CA
Mailing Address - Zip Code:94945-3156
Mailing Address - Country:US
Mailing Address - Phone:415-898-4278
Mailing Address - Fax:415-898-0446
Practice Address - Street 1:1400 GRANT AVE STE 203
Practice Address - Street 2:
Practice Address - City:NOVATO
Practice Address - State:CA
Practice Address - Zip Code:94945-3156
Practice Address - Country:US
Practice Address - Phone:415-898-4278
Practice Address - Fax:415-898-0446
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-24
Last Update Date:2008-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA010000420251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health