Hearts for Companion LLC

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

HEARTS FOR COMPANION LLC

Practice address

1310 Peters Dr
Leesburg, FL 34748-4041

Phone

(352) 408-4924

NPI assigned

May 21, 2020

Organization subpart

No

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

Authorized official

Name

Keiontaye Tolbert

Title

Ceo

Phone

(352) 408-4924

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1590019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590019200000",
    "number": "1033732268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 PETERS DR",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347484041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 PETERS DR",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347484041",
            "telephone_number": "352-408-4924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTS FOR COMPANION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-21",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A",
        "authorized_official_last_name": "TOLBERT",
        "authorized_official_first_name": "KEIONTAYE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "352-408-4924"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Developmental Disabilities Clinic/Center in Leesburg, FL
• Providers in Leesburg, FL by specialty
• Developmental Disabilities Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; 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.