Organization Active NPI

1St Serving Hearts Home Care Agency LLC

  • Homemaker
  • Wimauma, FL
National Provider Identifier
1417665233
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomemakerTaxonomy code 376J00000X
Legal business name
1ST SERVING HEARTS HOME CARE AGENCY LLC
Practice address
10635 Standing Stone Dr
Wimauma, FL 33598-6172
Phone
(813) 857-8545
NPI assigned
Nov 10, 2022
Last updated
Jan 4, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

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

Authorized official

Name
Mr. Henrina R Monger
Title
Owner
Phone
(813) 857-8545

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Homemaker 376J00000X NU Primary

Addresses

Primary practice location

10635 Standing Stone Dr
Wimauma, FL 33598-6172

Mailing address

10635 Standing Stone Dr
Wimauma, FL 33598-6172
Phone (813) 857-8545

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1668038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672790400000",
    "number": "1417665233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10635 STANDING STONE DR",
            "city": "WIMAUMA",
            "state": "FL",
            "postal_code": "335986172",
            "telephone_number": "813-857-8545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10635 STANDING STONE DR",
            "city": "WIMAUMA",
            "state": "FL",
            "postal_code": "335986172",
            "telephone_number": "813-857-8545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1ST SERVING HEARTS HOME CARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-10",
        "last_updated": "2023-01-04",
        "certification_date": "2022-12-15",
        "status": "A",
        "authorized_official_last_name": "MONGER",
        "authorized_official_first_name": "HENRINA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-857-8545",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wimauma, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; 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.