Heart of Carrie LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

HEART OF CARRIE LLC

Practice address

17 Old Kings Rd N Ste E
Palm Coast, FL 32137-8283

Phone

(386) 585-4406

NPI assigned

Oct 11, 2022

Organization subpart

No

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

Authorized official

Name

Anita Dionne JacksonNPI 1134699481

Title

Administrator

Phone

(386) 264-1398

Specialties & licenses 1

Addresses

Other names 1

• Heart of Carrie LLC Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anita Dionne Jackson

  • Home Health Agency
  • Palm Coast, FL
  • NPI 1134699481
  NPD Authorized official

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

{
    "created_epoch": "1665446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708560000000",
    "number": "1558086629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 OLD KINGS RD N STE E",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321378283",
            "telephone_number": "386-585-4406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 OLD KINGS RD N STE E",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321378283",
            "telephone_number": "386-585-4406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART OF CARRIE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-11",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "ANITA",
        "authorized_official_middle_name": "DIONNE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "386-264-1398"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heart of Carrie LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Home Health Agency in Palm Coast, FL
• Providers in Palm Coast, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.