NPIMap

Organization Active NPI

Our Hearts Home Care & Staffing LLC

  • Developmental Disabilities Clinic/Center
  • St Petersburg, FL
National Provider Identifier
1700525631
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
OUR HEARTS HOME CARE & STAFFING LLC
Practice address
2822 54TH Ave S # 150
St Petersburg, FL 33712-4610
Phone
(866) 757-5858
Fax
(866) 757-5858
NPI assigned
May 31, 2022
Organization subpart
Yes
Parent organization
OUR HEARTS HOME CARE & STAFFING LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 31, 2022

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

Authorized official

Name
Mrs. Chevelle R Jordan, REGISTERED NURSE
Title
Ceo
Phone
(727) 674-1800

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X
Developmental Disabilities Clinic/Center 261QD1600X Primary

Addresses

Primary practice location

2822 54TH Ave S # 150
St Petersburg, FL 33712-4610

Mailing address

235 Apollo Beach Blvd # 182
Apollo Beach, FL 33572-2251
Phone (813) 603-3096

Other identifiers 2

IdentifierTypeStateIssuer
237242OtherFLAHCA LICENSE - PASCO, PINELLAS
108510800MedicaidFL

Other names 1

  • Our Hearts Home Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Our Hearts Home Care Staffing LLC4 organizations share this tax ID, including this one
Part of
Our Hearts Home Care Staffing LLC

Other organizations with this tax ID 3

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

Locations

235 Apollo Beach Blvd
Apollo Beach, FL 33572
Phone (813) 528-3434

2822 54th Ave S
St Petersburg, FL 33712
Phone (727) 218-8961

NPI Registry JSON

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

{
    "created_epoch": "1653955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653955200000",
    "number": "1700525631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 APOLLO BEACH BLVD # 182",
            "city": "APOLLO BEACH",
            "state": "FL",
            "postal_code": "335722251",
            "telephone_number": "813-603-3096",
            "fax_number": "866-757-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2822 54TH AVE S # 150",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337124610",
            "telephone_number": "866-757-5858",
            "fax_number": "866-757-5858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR HEARTS HOME CARE & STAFFING LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OUR HEARTS HOME CARE & STAFFING LLC",
        "enumeration_date": "2022-05-31",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-17",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "CHEVELLE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "727-674-1800",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA LICENSE - PASCO, PINELLAS",
            "identifier": "237242",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108510800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Our Hearts Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; 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.