Active NPI
Hearts Desire LLC
- Developmentally Disabled Services Day Training Agency
- Monroe, LA
National Provider Identifier
1194853705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- License
- 10638
- Legal business name
- HEARTS DESIRE LLC
- Practice address
- 2900 Cameron St
Monroe, LA 71201-3714 - Phone
- (318) 387-5765
- Fax
- (318) 329-2936
- NPI assigned
- Mar 2, 2007
- 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
- Mr. William G. Worley Jr.
- Title
- Co-Owner
- Phone
- (318) 387-5765
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | 10638 | LA | Primary |
Addresses
Primary practice location
2900 Cameron St
Monroe, LA 71201-3714
Mailing address
2900 Cameron St
Monroe, LA 71201-3714
Phone (318) 387-5765
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1171328 | Medicaid | LA | |
| PCS 10638 | Other | LA | DEPT. OF HEALTH & HOSP. |
National Provider Directory
National Provider Directory- Tax ID family
- Hearts Desire LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- In Home Supportive Care Agency
- Monroe, LA
- NPI 1629105895
-
- Developmentally Disabled Services Day Training Agency
- Monroe, LA
- NPI 1720116312
Locations
2900 Cameron St
Monroe, LA 71201
Phone (318) 323-9995
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172793600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1194853705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 CAMERON ST",
"city": "MONROE",
"state": "LA",
"postal_code": "712013714",
"telephone_number": "318-387-5765",
"fax_number": "318-329-2936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 CAMERON ST",
"city": "MONROE",
"state": "LA",
"postal_code": "712013714",
"telephone_number": "318-387-5765",
"fax_number": "318-329-2936"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEARTS DESIRE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-02",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "WORLEY",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "G.",
"authorized_official_title_or_position": "CO-OWNER",
"authorized_official_telephone_number": "318-387-5765",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": "LA",
"license": "10638",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1171328",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT. OF HEALTH & HOSP.",
"identifier": "PCS 10638",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Monroe, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.