Organization Active NPI

Hearts Home Care LLC

  • Home Health Clinical Nurse Specialist
  • Saint Paul, MN
National Provider Identifier
1558780882
Registry record updated Feb 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Clinical Nurse SpecialistTaxonomy code 364SH0200X
Legal business name
HEARTS HOME CARE LLC
Practice address
625 Snelling Ave
Unit a, #1
Saint Paul, MN 55104
Phone
(651) 493-4353
Fax
(866) 807-7293
NPI assigned
Apr 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2018

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

Authorized official

Name
Mr. Victor Takpo Davis
Title
Administrator
Phone
(952) 288-9921

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 365718 MN
Home Health Clinical Nurse SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 364SH0200X Primary

Addresses

Primary practice location

625 Snelling Ave
Unit a, #1
Saint Paul, MN 55104

Mailing address

625 Snelling Ave
Unit a, #1
Saint Paul, MN 55104
Phone (651) 493-4353

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519084800000",
    "number": "1558780882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 SNELLING AVE",
            "address_2": "UNIT A, #1",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "55104",
            "telephone_number": "651-493-4353",
            "fax_number": "866-807-7293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 SNELLING AVE",
            "address_2": "UNIT A, #1",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "55104",
            "telephone_number": "651-493-4353",
            "fax_number": "866-807-7293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTS HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-15",
        "last_updated": "2018-02-20",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "TAKPO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "952-288-9921",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "365718",
            "primary": false
        },
        {
            "code": "364SH0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2018; 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.