Young at Heart Home Health Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

YOUNG AT HEART HOME HEALTH CARE

Practice address

9470 Atlantic St
Miramar, FL 33025-4251

Phone

(305) 986-9568

NPI assigned

Sep 4, 2011

Organization subpart

No

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

Authorized official

Name

Miss Jacquelene Davis

Title

Owner/President

Phone

(305) 986-9568

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1315094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315094400000",
    "number": "1366723397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9470 ATLANTIC ST",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330254251",
            "telephone_number": "305-986-9568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9470 ATLANTIC ST",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330254251",
            "telephone_number": "305-986-9568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG AT HEART HOME HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-04",
        "last_updated": "2011-09-04",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JACQUELENE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "305-986-9568",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2011; 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.