Active NPI
Four Hearts
Doing business as Four Hearts Home
- Home Health Agency
- Riviera Beach, FL
National Provider Identifier
1629582440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 234977
- Legal business name
- FOUR HEARTS
- Doing business as
- Four Hearts Home
- Practice address
- 462 W 14TH St
Riviera Beach, FL 33404 - Phone
- (561) 876-1541
- NPI assigned
- Dec 1, 2017
- Last updated
- May 22, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Jewel Elois McDonald
- Title
- Ceo
- Phone
- (561) 876-1541
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 234977 | FL | Primary |
| Assisted Living Facility | 310400000X |
Addresses
Primary practice location
462 W 14TH St
Riviera Beach, FL 33404
Mailing address
PO Box 10452
Riviera Beach, FL 33419-0452
Phone (561) 876-1541
Other practice location 1
211 Hawthorne Dr
Lake Park, FL 33403-2729
Phone (561) 876-1541
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020574100 | Medicaid | FL |
Other names 1
- Four Hearts Home
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512086400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1526947200000",
"number": "1629582440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10452",
"city": "RIVIERA BEACH",
"state": "FL",
"postal_code": "334190452",
"telephone_number": "561-876-1541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "462 W 14TH ST",
"city": "RIVIERA BEACH",
"state": "FL",
"postal_code": "33404",
"telephone_number": "561-876-1541"
}
],
"practiceLocations": [
{
"address_1": "211 Hawthorne Dr",
"address_purpose": "LOCATION",
"city": "Lake Park",
"state": "FL",
"postal_code": "334032729",
"country_code": "US",
"telephone_number": "561-876-1541",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "FOUR HEARTS",
"organizational_subpart": "NO",
"enumeration_date": "2017-12-01",
"last_updated": "2018-05-22",
"status": "A",
"authorized_official_last_name": "MCDONALD",
"authorized_official_first_name": "JEWEL",
"authorized_official_middle_name": "ELOIS",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "561-876-1541",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "FL",
"license": "234977",
"primary": true
},
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "020574100",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Four Hearts Home",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Riviera Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.