Basic Information
| Provider Information | |||||||||
| NPI: | 1265856975 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | HEARTS 2GETHER HOMES | ||||||||
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| Mailing Information | |||||||||
| Address1: | 111 GRANDVUE DR | ||||||||
| Address2: | |||||||||
| City: | BEAVER | ||||||||
| State: | PA | ||||||||
| PostalCode: | 150099780 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7244173516 | ||||||||
| FaxNumber: | 7247752375 | ||||||||
| Practice Location | |||||||||
| Address1: | 111 GRANDVUE DR | ||||||||
| Address2: | |||||||||
| City: | BEAVER | ||||||||
| State: | PA | ||||||||
| PostalCode: | 150099780 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7244173516 | ||||||||
| FaxNumber: | 7247752375 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/17/2014 | ||||||||
| LastUpdateDate: | 02/17/2014 | ||||||||
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| AuthorizedOfficialLastName: | BUTERA | ||||||||
| AuthorizedOfficialFirstName: | ELIZABETH | ||||||||
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| AuthorizedOfficialTitleorPosition: | CEO/OWNER | ||||||||
| AuthorizedOfficialTelephone: | 7244173516 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | CDP | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 253Z00000X | 20397606 | PA | Y | Agencies | In Home Supportive Care |
No ID Information.