Organization Active NPI

Heart to Heart Connection Companion Service

  • In Home Supportive Care Agency
  • Jacksonville, FL
National Provider Identifier
1487419305
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
HEART TO HEART CONNECTION COMPANION SERVICE
Practice address
4401 Will Scarlet Rd
Jacksonville, FL 32208-1154
Phone
(904) 352-0066
NPI assigned
Feb 20, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Authorized official

Name
Antonette Jarshawn Miller-Maultsby, NURSING ASSISTANT
Title
Caretaker/Companion
Phone
(904) 352-0066

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

4401 Will Scarlet Rd
Jacksonville, FL 32208-1154

Mailing address

4401 Will Scarlet Rd
Jacksonville, FL 32208-1154
Phone (904) 352-0066

National Provider Directory

National Provider Directory

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": "1708387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708387200000",
    "number": "1487419305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 WILL SCARLET RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322081154",
            "telephone_number": "904-352-0066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 WILL SCARLET RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322081154",
            "telephone_number": "904-352-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART TO HEART CONNECTION COMPANION SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-20",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A",
        "authorized_official_last_name": "MILLER-MAULTSBY",
        "authorized_official_first_name": "ANTONETTE",
        "authorized_official_middle_name": "JARSHAWN",
        "authorized_official_title_or_position": "CARETAKER/COMPANION",
        "authorized_official_telephone_number": "904-352-0066",
        "authorized_official_credential": "NURSING ASSISTANT"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; 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.