Organization Active NPI

Lovely Heart Service

  • Home Health Agency
  • Panama City, FL
National Provider Identifier
1427417419
Registry record updated Feb 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LOVELY HEART SERVICE
Practice address
2805 Evelyn Ave Apt 3a
Panama City, FL 32405-5861
Phone
(850) 851-6261
NPI assigned
Feb 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2016

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

Authorized official

Name
Kemisha Latoya Mathis, DOA
Title
Ower
Phone
(850) 851-6261

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2805 Evelyn Ave Apt 3a
Panama City, FL 32405-5861

Mailing address

2805 Evelyn Ave Apt 3a
Panama City, FL 32405-5861
Phone (850) 851-6261

Other names 1

  • kemisha mathis Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1455753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455753600000",
    "number": "1427417419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2805 EVELYN AVE APT 3A",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324055861",
            "telephone_number": "850-851-6261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 EVELYN AVE APT 3A",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324055861",
            "telephone_number": "850-851-6261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOVELY HEART SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-18",
        "last_updated": "2016-02-18",
        "status": "A",
        "authorized_official_last_name": "MATHIS",
        "authorized_official_first_name": "KEMISHA",
        "authorized_official_middle_name": "LATOYA",
        "authorized_official_title_or_position": "OWER",
        "authorized_official_telephone_number": "850-851-6261",
        "authorized_official_credential": "DOA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "kemisha mathis",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Panama City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.