Organization Active NPI

Halos Over Hearts, LLC

  • Home Health Agency
  • Jacksonville, FL
National Provider Identifier
1245630516
Registry record updated Aug 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
233614 Issued in FL
Legal business name
HALOS OVER HEARTS, LLC
Practice address
9064 Castle Blvd
Jacksonville, FL 32208-1602
Phone
(904) 651-4083
NPI assigned
Aug 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2014

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

Authorized official

Name
Clarenda Danielle JohnsonNPI 1396153169
Title
Owner
Phone
(904) 651-4083

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 233614 FL Primary

Addresses

Primary practice location

9064 Castle Blvd
Jacksonville, FL 32208-1602

Mailing address

PO Box 7164
Jacksonville, FL 32238-0164
Phone (904) 651-4083

National Provider Directory

National Provider Directory

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": "1408838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408838400000",
    "number": "1245630516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7164",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322380164",
            "telephone_number": "904-651-4083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9064 CASTLE BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322081602",
            "telephone_number": "904-651-4083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALOS OVER HEARTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-24",
        "last_updated": "2014-08-24",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CLARENDA",
        "authorized_official_middle_name": "DANIELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-651-4083"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "233614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2014; 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.