Active NPI
Moore's Heart Homecare LLC
- In Home Supportive Care Agency
- Winter Haven, FL
National Provider Identifier
1184236929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- MOORE'S HEART HOMECARE LLC
- Practice address
- 2401 2ND St NW
#52
Winter Haven, FL 33881-4941 - Phone
- (863) 732-0319
- NPI assigned
- Aug 22, 2020
- Last updated
- Aug 21, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Santina Lattimore, HOME HEALTH AIDE
- Title
- Owner
- Phone
- (863) 732-0319
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) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
2401 2ND St NW
#52
Winter Haven, FL 33881-4941
Mailing address
2401 2ND St NW
#52
Winter Haven, FL 33881-4941
Phone (863) 732-0319
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 107746400 | Medicaid | FL |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Home Health Aide
- Winter Haven, FL
- NPI 1326656646
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598054400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724198400000",
"number": "1184236929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2401 2ND ST NW",
"address_2": "#52",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338814941",
"telephone_number": "863-732-0319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 2ND ST NW",
"address_2": "#52",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338814941",
"telephone_number": "863-732-0319"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOORE'S HEART HOMECARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-08-22",
"last_updated": "2024-08-21",
"certification_date": "2024-08-21",
"status": "A",
"authorized_official_last_name": "LATTIMORE",
"authorized_official_first_name": "SANTINA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "863-732-0319",
"authorized_official_credential": "HOME HEALTH AIDE"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "107746400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winter Haven, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.