Basic Information
| Provider Information | |||||||||
| NPI: | 1134694730 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | JOYFUL HEART HOUSE CALLS, LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2903 CAPE HORN CIR | ||||||||
| Address2: | |||||||||
| City: | PLATTSMOUTH | ||||||||
| State: | NE | ||||||||
| PostalCode: | 680487159 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9076901901 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2903 CAPE HORN CIR | ||||||||
| Address2: | |||||||||
| City: | PLATTSMOUTH | ||||||||
| State: | NE | ||||||||
| PostalCode: | 680487159 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9076901901 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/10/2018 | ||||||||
| LastUpdateDate: | 10/10/2018 | ||||||||
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| AuthorizedOfficialLastName: | GALLAGHER | ||||||||
| AuthorizedOfficialFirstName: | VIRGINIA (JENNI) | ||||||||
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| AuthorizedOfficialTitleorPosition: | NURSE PRACTITIONER/OWNER | ||||||||
| AuthorizedOfficialTelephone: | 9076901901 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | APRN | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261Q00000X | Y | Ambulatory Health Care Facilities | Clinic/Center |
No ID Information.