Organization Active NPI

Good Hearts Home Health Group, LLC

  • Home Health Agency
  • Southaven, MS
National Provider Identifier
1154198471
Registry record updated May 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GOOD HEARTS HOME HEALTH GROUP, LLC
Practice address
4801 Derby Dr
Southaven, MS 38671-5333
Phone
(901) 581-7606
NPI assigned
Dec 6, 2023
Last updated
May 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2024

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

Authorized official

Name
Kendra Kirkpatrick
Title
Owner
Phone
(901) 581-7606

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

4801 Derby Dr
Southaven, MS 38671-5333

Mailing address

4801 Derby Dr
Southaven, MS 38671-5333
Phone (901) 581-7606

Other identifiers 1

IdentifierTypeStateIssuer
3747P1801XMedicaidMS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1701820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716595200000",
    "number": "1154198471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 DERBY DR",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386715333",
            "telephone_number": "901-581-7606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 DERBY DR",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386715333",
            "telephone_number": "901-581-7606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD HEARTS HOME HEALTH GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-06",
        "last_updated": "2024-05-25",
        "certification_date": "2024-05-25",
        "status": "A",
        "authorized_official_last_name": "KIRKPATRICK",
        "authorized_official_first_name": "KENDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-581-7606"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3747P1801X",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southaven, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2024; 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.