Organization Active NPI

Southern Hearts Home Health, LLC

  • Home Health Agency
  • Van Alstyne, TX
National Provider Identifier
1114773033
Registry record updated Jul 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SOUTHERN HEARTS HOME HEALTH, LLC
Practice address
214 Rustic TRL
Van Alstyne, TX 75495-3435
Phone
(817) 304-9393
NPI assigned
Apr 30, 2024
Last updated
Jul 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2024

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

Authorized official

Name
Leellen Dawn Taylor, RN
Title
Administrator/Don/Owner
Phone
(817) 304-9393

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

214 Rustic TRL
Van Alstyne, TX 75495-3435

Mailing address

214 Rustic TRL
Van Alstyne, TX 75495-3435
Phone (817) 304-9393

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL southernheartshhc@gmail.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250130001110 TX Part A Provider - Home Health Agency 5193254589 Practice locations: Van Alstyne, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1114773033. Details of each certification follow.

Home health agency certification: CCN 748134

Legal name
SOUTHERN HEARTS HOME HEALTH, LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 6, 2025
Last certification
Feb 21, 2025
Organization structure
LLCProprietary
Incorporated
Apr 30, 2024 in TX
Enrollment address
214 Rustic TRL
Van Alstyne, TX 75495-3435

Care Compare: Home health agency

Medicare Care Compare
Listed as
Southern Hearts Home Health, LLCCCN 748134 · All quality measures
Ownership
-
Certified
Mar 6, 2025
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2308025Southern Hearts Home Health, LLC214 Rustic Trail, Van Alstyne, TX 75495Certificate of waiverJul 18, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Courtney Jones Individual 5% Or Greater Direct Ownership InterestOwner/ Alternate Administrator/Adon Apr 30, 2024 50%
W-2 Managing EmployeeOwner Apr 30, 2024 50%
Leellen Taylor Individual 5% Or Greater Direct Ownership InterestOwner/Administrator/Don Apr 30, 2024 50%

Practitioners & affiliated clinicians

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1714435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721347200000",
    "number": "1114773033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 RUSTIC TRL",
            "city": "VAN ALSTYNE",
            "state": "TX",
            "postal_code": "754953435",
            "telephone_number": "817-304-9393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 RUSTIC TRL",
            "city": "VAN ALSTYNE",
            "state": "TX",
            "postal_code": "754953435",
            "telephone_number": "817-304-9393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN HEARTS HOME HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-30",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "LEELLEN",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "ADMINISTRATOR/DON/OWNER",
        "authorized_official_telephone_number": "817-304-9393",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "southernheartshhc@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "214 Rustic Trl",
            "city": "Van Alstyne",
            "state": "TX",
            "country_code": "US",
            "postal_code": "754953435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Van Alstyne, TX

Sources for this page

Verify at the official NPI Registry.