Organization Active NPI

Heart Work Homes, LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Fort Walton Beach, FL
National Provider Identifier
1306348545
Registry record updated Mar 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
HEART WORK HOMES, LLC
Practice address
38 Carson Dr SE
Fort Walton Beach, FL 32548-5496
Phone
(850) 687-7908
NPI assigned
Mar 4, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2018

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

Authorized official

Name
Monecia Bailey
Title
Chief Operating Officer, Coo
Phone
(850) 687-7908

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

38 Carson Dr SE
Fort Walton Beach, FL 32548-5496

Mailing address

38 Carson Dr SE
Fort Walton Beach, FL 32548-5496

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1520121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520121600000",
    "number": "1306348545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 CARSON DR SE",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325485496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 CARSON DR SE",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325485496",
            "telephone_number": "850-687-7908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART WORK HOMES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-04",
        "last_updated": "2018-03-04",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "MONECIA",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER, COO",
        "authorized_official_telephone_number": "850-687-7908"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Walton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2018; 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.