Hattie Morgan House LLC

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Legal business name

HATTIE MORGAN HOUSE LLC

Practice address

637 Kissimmee St
Tallahassee, FL 32310-5410

Phone

(850) 716-5628

NPI assigned

Jan 22, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Kerushel A Rollins

Title

Owner

Phone

(850) 716-5628

Specialties & licenses 1

Addresses

Other names 1

• Hattie Morgan House LLC Former legal business name

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

{
    "created_epoch": "1453420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453420800000",
    "number": "1245697168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "637 KISSIMMEE ST",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323105410",
            "telephone_number": "850-716-5628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637 KISSIMMEE ST",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323105410",
            "telephone_number": "850-716-5628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HATTIE MORGAN HOUSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-22",
        "last_updated": "2016-01-22",
        "status": "A",
        "authorized_official_last_name": "ROLLINS",
        "authorized_official_first_name": "KERUSHEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-716-5628",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Community Health Worker",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hattie Morgan House LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Elise Hatfield, PA
• Howard Keith Hatfield, PA-C
• Charles Walter Hathaway, O.D.
• Madeline Smith Hatim, LPN
• Kate McGill Hattaway
• Jennifer Hauer, PHARMD
• Coleman Garcia Haughbrook
• Sarah Marie Hausherr, APRN
• Amanda Hausmann
• Carson Tyler Hausmann

• Community Health Worker in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Community Health Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2016; 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.