Organization Active NPI

Heartly Senior Care Services LLC

  • Home Health Agency
  • Winter Springs, FL
National Provider Identifier
1174139059
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HEARTLY SENIOR CARE SERVICES LLC
Practice address
3625 State Road 419 Ste 110
Winter Springs, FL 32708-2672
Phone
(850) 405-2240
NPI assigned
Sep 16, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

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

Authorized official

Name
Saniecia DavisNPI 1467951251
Title
Owner
Phone
(850) 405-2240

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

3625 State Road 419 Ste 110
Winter Springs, FL 32708-2672

Mailing address

9300 Conroy Windermere Rd
Windermere, FL 34786-5000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Ms_DavisMgmt@heartlyseniorcare.net

National Provider Directory

National Provider Directory

Locations

3625 State Road 419
Ste 110
Winter Springs, FL 32708
Phone (850) 405-2240

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1600214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600214400000",
    "number": "1174139059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 CONROY WINDERMERE RD",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347865000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 STATE ROAD 419 STE 110",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327082672",
            "telephone_number": "850-405-2240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLY SENIOR CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-16",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "SANIECIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-405-2240"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Ms_DavisMgmt@heartlyseniorcare.net",
            "affiliation": "N",
            "address_1": "3625 State Road 419 Ste 110",
            "city": "Winter Springs",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327082672",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winter Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.