NPIMap

Organization Active NPI

Five Hearts Healthcare LLC

  • Community/Behavioral Health Agency
  • Slidell, LA
National Provider Identifier
1649644659
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
FIVE HEARTS HEALTHCARE LLC
Practice address
132 W Howze Beach Rd
Slidell, LA 70458-8501
Phone
(985) 445-1800
Fax
(985) 445-1802
NPI assigned
Nov 15, 2015
Last updated
Jun 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2023

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

Authorized official

Name
Danicia MoselyNPI 1275012411
Title
Ceo
Phone
(985) 445-1800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Non-emergency Medical Transport (VAN) 343900000X

Addresses

Primary practice location

132 W Howze Beach Rd
Slidell, LA 70458-8501

Mailing address

132 W Howze Beach Rd
Slidell, LA 70458-8501
Phone (985) 445-1800

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Info@fiveheartshealthcare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230320002177 LA Part B Supplier - Clinic/Group Practice 3274907951 Receives reassigned benefits from 1 practitioner
Practice locations: Slidell, LA

National Provider Directory

National Provider Directory

Locations

132 W Howze Beach Rd
Slidell, LA 70458
Phone (985) 445-1800

Practitioners & affiliated clinicians

Practitioners 41

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1447545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686009600000",
    "number": "1649644659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 W HOWZE BEACH RD",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704588501",
            "telephone_number": "985-445-1800",
            "fax_number": "985-445-1802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 W HOWZE BEACH RD",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704588501",
            "telephone_number": "985-445-1800",
            "fax_number": "985-445-1802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVE HEARTS HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-15",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A",
        "authorized_official_last_name": "MOSELY",
        "authorized_official_first_name": "DANICIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "985-445-1800"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Info@fiveheartshealthcare.com",
            "affiliation": "N",
            "address_1": "132 W Howze Beach Rd",
            "city": "Slidell",
            "state": "LA",
            "country_code": "US",
            "postal_code": "704588501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.