Heart to Heart Personal Care Home

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

Legal business name

HEART TO HEART PERSONAL CARE HOME

Practice address

800 Mississippi Street
Shelby, MS 38774

Phone

(662) 398-7133

Fax

(662) 775-5018

NPI assigned

Oct 6, 2022

Last updated

Oct 6, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sharda Nicole JohnsonNPI 1265945828

Title

Ceo

Phone

(662) 402-6452

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sharda Johnson

  • Homemaker
  • Shelby, MS
  • NPI 1265945828
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1665014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665014400000",
    "number": "1003531526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1026",
            "city": "SHELBY",
            "state": "MS",
            "postal_code": "387741026",
            "telephone_number": "662-402-7133",
            "fax_number": "662-775-5018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MISSISSIPPI STREET",
            "city": "SHELBY",
            "state": "MS",
            "postal_code": "38774",
            "telephone_number": "662-398-7133",
            "fax_number": "662-775-5018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART TO HEART PERSONAL CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-06",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-04",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SHARDA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "662-402-6452"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007821551",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000254505",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dac of Shelby, LLC (Diversicare of Shelby)
• Deborah D Gibbs
• Dorothy Grady-Scarbrough
• Louise H. Hemingway, MCD, CCC-SLP
• HL Campbell Rural Health Clinic
• It's a Blessing Adult Day Care Inc
• Sharda Johnson
• Making Moves in the Community, Incorporated

• Assisted Living Facility (Mental Illness) in Shelby, MS
• Providers in Shelby, MS by specialty
• Assisted Living Facility (Mental Illness) in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.