Heart of Florida Care Inc.

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

License

AL9965 Issued in FL

Legal business name

HEART OF FLORIDA CARE INC.

Practice address

301 S 10TH St
Haines City, FL 33844-5601

Phone

(863) 421-2982

NPI assigned

May 14, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Jas Lally

Title

Vice President

Phone

(863) 421-2982

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Hampton Court Doing business as

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1487821807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S 10TH ST",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338445601",
            "telephone_number": "863-421-2982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S 10TH ST",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338445601",
            "telephone_number": "863-421-2982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART OF FLORIDA CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-14",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "LALLY",
        "authorized_official_first_name": "JAS",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "863-421-2982",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "FL",
            "license": "AL9965",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID DIVERSION PROVIDER #",
            "identifier": "11194301",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DIVERSION PROVIDER #",
            "identifier": "284871",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID DIVERSION PROVIDER #",
            "identifier": "6000793",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "683660700",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140884400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hampton Court",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Health Holdings Company LLC
• Healthstat Wellness-PCSB Haines Dispensing
• Healthstat Wellness-Polk Haines
• Heart of Florida Assisted Living BSLC LLC
• Heart of Florida Cardiovascular Center, LLC
• Heart of Florida Chiropractic, Inc.
• Heart of Gold Senior Services, LLC
• Heartland Healthcare Inc.
• Heavenly Choice Adult Group Home
• Heavenly Choice Adult Home

• Community Health Clinic/Center in Haines City, FL
• Providers in Haines City, FL by specialty
• Community Health Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; 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.