Provider Demographics
NPI:1700678174
Name:HEART AT HOME CARE SERVICES LLC
Entity type:Organization
Organization Name:HEART AT HOME CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KIANA
Authorized Official - Middle Name:CHEVONNE
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:843-506-6817
Mailing Address - Street 1:1801 W EVANS ST STE D100
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29501-3376
Mailing Address - Country:US
Mailing Address - Phone:843-506-6817
Mailing Address - Fax:888-781-9149
Practice Address - Street 1:1801 W EVANS ST STE D100
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29501-3376
Practice Address - Country:US
Practice Address - Phone:843-506-6817
Practice Address - Fax:888-781-9149
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-20
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251B00000XAgenciesCase Management
No251J00000XAgenciesNursing Care
No385H00000XRespite Care FacilityRespite Care