Organization Active NPI

Heartivia Care

  • In Home Supportive Care Agency
  • Laurelton, NY
National Provider Identifier
1184533796
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
HEARTIVIA CARE
Practice address
13412 225TH St
Laurelton, NY 11413-2039
Phone
(929) 310-5651
Fax
(929) 529-6056
NPI assigned
Sep 2, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Authorized official

Name
Damoya T Hall -Reid
Title
Executive Director.
Phone
(929) 310-5651

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
In Home Supportive Care Agency 253Z00000X Primary
Respite Care 385H00000X

Addresses

Primary practice location

13412 225TH St
Laurelton, NY 11413-2039

Mailing address

13412 225TH St
Laurelton, NY 11413-2039
Phone (929) 310-5651

NPI Registry JSON

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

{
    "created_epoch": "1788307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788307200000",
    "number": "1184533796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13412 225TH ST",
            "city": "LAURELTON",
            "state": "NY",
            "postal_code": "114132039",
            "telephone_number": "929-310-5651",
            "fax_number": "929-529-6056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13412 225TH ST",
            "city": "LAURELTON",
            "state": "NY",
            "postal_code": "114132039",
            "telephone_number": "929-310-5651",
            "fax_number": "929-529-6056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTIVIA CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-02",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A",
        "authorized_official_last_name": "HALL -REID",
        "authorized_official_first_name": "DAMOYA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR.",
        "authorized_official_telephone_number": "929-310-5651"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurelton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.