Organization Active NPI

Heartivia Care

  • In Home Supportive Care Agency
  • Laurelton, NY
National Provider Identifier
1649118142
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
HEARTIVIA CARE
Practice address
13412 225TH St
Laurelton, NY 11413-2039
Phone
(347) 548-0477
NPI assigned
Mar 24, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2026

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

Authorized official

Name
Ms. Damoya Tenesha Hall-Reid
Title
Owner
Phone
(347) 548-0477

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

13412 225TH St
Laurelton, NY 11413-2039

Mailing address

13412 225TH St
Laurelton, NY 11413-2039
Phone (347) 548-0477

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1774310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786060800000",
    "number": "1649118142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13412 225TH ST",
            "city": "LAURELTON",
            "state": "NY",
            "postal_code": "114132039",
            "telephone_number": "347-548-0477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13412 225TH ST",
            "city": "LAURELTON",
            "state": "NY",
            "postal_code": "114132039",
            "telephone_number": "347-548-0477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTIVIA CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-24",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A",
        "authorized_official_last_name": "HALL-REID",
        "authorized_official_first_name": "DAMOYA",
        "authorized_official_middle_name": "TENESHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-548-0477",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurelton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2026; 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.