Enchanted Hearts Provider Services Llc

LBN: Enchanted Hearts Provider Services Llc
Enchanted Hearts Provider Services Llc is an health care organization with primary practice located at 825 Boyd St , Beaumont TX 77705-5007. The organization recently has 3 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Home Health, Nursing Service Related Providers / Personal Care Attendant. Agencies / Home Health is the primary health care specialty. Enchanted Hearts Provider Services Llc can be contacted via phone (409) 527-1121, or through Martin, Dorian Olevia via phone (409) 527-1121.

Contact Information

Primary practice address
825 Boyd St Beaumont TX 77705-5007
Phone: (409) 527-1121
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Martin, Dorian Olevia Registered Nurse (RN)
Phone: (409) 527-1121

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X
Agencies / Home Health 251E00000X
Nursing Service Related Providers / Personal Care Attendant 3747P1801X

Profile Details

NPI number 1760179584
LBN Legal business name Enchanted Hearts Provider Services Llc
DBA Doing business as
Authorized official Martin, Dorian Olevia Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 21st, 2023
Last updated Apr 21st, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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