Organization Active NPI

Hearts Desire LLC

  • In Home Supportive Care Agency
  • Monroe, LA
National Provider Identifier
1629105895
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
HEARTS DESIRE LLC
Practice address
2900 Cameron St
Monroe, LA 71201-3714
Phone
(318) 387-5765
Fax
(318) 329-2936
NPI assigned
Feb 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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

Authorized official

Name
Mr. William Grundy Worley Jr.
Title
Co-Owner
Phone
(318) 387-5765

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 10638 LA
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

2900 Cameron St
Monroe, LA 71201-3714

Mailing address

2900 Cameron St
Monroe, LA 71201-3714
Phone (318) 387-5765

Other identifiers 3

IdentifierTypeStateIssuer
PCA 10638OtherLADEPT. OF HEALTH & HOSP.
1156396MedicaidLA
2594419MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Hearts Desire LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672876800000",
    "number": "1629105895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 CAMERON ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712013714",
            "telephone_number": "318-387-5765",
            "fax_number": "318-329-2936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 CAMERON ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712013714",
            "telephone_number": "318-387-5765",
            "fax_number": "318-329-2936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTS DESIRE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A",
        "authorized_official_last_name": "WORLEY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "GRUNDY",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "318-387-5765",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "LA",
            "license": "10638",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT. OF HEALTH & HOSP.",
            "identifier": "PCA  10638",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1156396",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2594419",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.