Three Hearts Adt,LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

2017-CU-0123 Issued in FL

Legal business name

THREE HEARTS ADT,LLC

Practice address

2055 Lee St
Hollywood, FL 33020-2410

Phone

(786) 378-0909

NPI assigned

Mar 2, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Yitzhak Rivero, FMD,BA,MA

Title

Program Director

Phone

(786) 378-0909

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1488412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488412800000",
    "number": "1598205080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 LEE ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330202410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 LEE ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330202410",
            "telephone_number": "786-378-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE HEARTS ADT,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-02",
        "last_updated": "2017-03-02",
        "status": "A",
        "authorized_official_last_name": "RIVERO",
        "authorized_official_first_name": "YITZHAK",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "786-378-0909",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FMD,BA,MA"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "FL",
            "license": "2017-CU-0123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Developmentally Disabled Services Day Training Agency in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Developmentally Disabled Services Day Training Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2017; 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.