Organization Active NPI

Our Hearts Home Care & Staffing LLC

  • Developmental Disabilities Clinic/Center
  • Ruskin, FL
National Provider Identifier
1366090946
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
OUR HEARTS HOME CARE & STAFFING LLC
Practice address
81 7TH Ave NE
Ruskin, FL 33570-3646
Phone
(866) 757-5858
Fax
(866) 757-5858
NPI assigned
Aug 28, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Authorized official

Name
Mrs. Chevelle Jordan, REGISTERED NURSENPI 1932729241
Title
Ceo
Phone
(866) 757-5858

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Community/Behavioral Health Agency 251S00000X
In Home Supportive Care Agency 253Z00000X
Developmental Disabilities Clinic/Center 261QD1600X Primary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X

Addresses

Primary practice location

81 7TH Ave NE
Ruskin, FL 33570-3646

Mailing address

235 Apollo Beach Blvd # 182
Apollo Beach, FL 33572-2251
Phone (866) 757-5858

Other identifiers 1

IdentifierTypeStateIssuer
235844OtherFLACHA LICENSE

Other names 1

  • Our Hearts Home Care Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL 9983.axiscare.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory
Tax ID family
Our Hearts Home Care Staffing LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

81 7th Ave NE
Ruskin, FL 33570
Phone (866) 757-5858

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": "1566950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765411200000",
    "number": "1366090946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 APOLLO BEACH BLVD # 182",
            "city": "APOLLO BEACH",
            "state": "FL",
            "postal_code": "335722251",
            "telephone_number": "866-757-5858",
            "fax_number": "866-757-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 7TH AVE NE",
            "city": "RUSKIN",
            "state": "FL",
            "postal_code": "335703646",
            "telephone_number": "866-757-5858",
            "fax_number": "866-757-5858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR HEARTS HOME CARE & STAFFING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-28",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "CHEVELLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "866-757-5858",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACHA LICENSE",
            "identifier": "235844",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "9983.axiscare.com",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "235 Apollo Beach Blvd # 182",
            "city": "Apollo Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335722251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Our Hearts Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ruskin, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; 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.