Organization Active NPI

Hearts of Gold 4 Companions

  • Attendant Care Provider
  • Jacksonville, FL
National Provider Identifier
1518671197
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Attendant Care ProviderTaxonomy code 3747A0650X
Legal business name
HEARTS OF GOLD 4 COMPANIONS
Practice address
1540 Lake Shore Blvd
Jacksonville, FL 32205-7218
Phone
(904) 762-7177
NPI assigned
Jan 9, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2023

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

Authorized official

Name
Miss Arian Sheree HarrisonNPI 1851986228
Title
Owner
Phone
(904) 762-7177

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Attendant Care ProviderGroup: 193200000X MULTI-SPECIALTY GROUP 3747A0650X Primary

Addresses

Primary practice location

1540 Lake Shore Blvd
Jacksonville, FL 32205-7218

Mailing address

1540 Lake Shore Blvd
Jacksonville, FL 32205-7218
Phone (904) 762-7177

Other identifiers 1

IdentifierTypeStateIssuer
11635400MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL heartsofgold4companions@yahoo.com

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": "1673222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673222400000",
    "number": "1518671197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 LAKE SHORE BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322057218",
            "telephone_number": "904-762-7177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 LAKE SHORE BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322057218",
            "telephone_number": "904-762-7177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTS OF GOLD 4 COMPANIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-09",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "ARIAN",
        "authorized_official_middle_name": "SHEREE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-762-7177",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11635400",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "heartsofgold4companions@yahoo.com",
            "affiliation": "N",
            "address_1": "1540 Lake Shore Blvd",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322057218",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jan 9, 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.