NPIMap

Organization Active NPI

Epifani LLC

  • Homemaker
  • Fort Walton Beach, FL
National Provider Identifier
1760036859
Registry record updated Jul 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomemakerTaxonomy code 376J00000X
Legal business name
EPIFANI LLC
Doing business as
1 Heart Care Solutions
Practice address
1704 Cartier PL
Fort Walton Beach, FL 32547-5730
Phone
(850) 687-7890
NPI assigned
Jul 28, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2019

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

Authorized official

Name
Ursula NkwantabisaNPI 1174181754
Title
Owner
Phone
(850) 687-7890

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
HomemakerGroup: 193400000X SINGLE SPECIALTY GROUP 376J00000X Primary

Addresses

Primary practice location

1704 Cartier PL
Fort Walton Beach, FL 32547-5730

Mailing address

1704 Cartier PL
Fort Walton Beach, FL 32547-5730
Phone (850) 687-7890

Other identifiers 1

IdentifierTypeStateIssuer
103096400MedicaidFL

Other names 1

  • 1 Heart Care Solutions Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL na

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1564272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564272000000",
    "number": "1760036859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 CARTIER PL",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325475730",
            "telephone_number": "850-687-7890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 CARTIER PL",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325475730",
            "telephone_number": "850-687-7890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPIFANI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-28",
        "last_updated": "2019-07-28",
        "status": "A",
        "authorized_official_last_name": "NKWANTABISA",
        "authorized_official_first_name": "URSULA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-687-7890"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103096400",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "na",
            "affiliation": "N",
            "endpointDescription": "na",
            "address_1": "1704 Cartier Pl",
            "city": "Fort Walton Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "325475730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "1 Heart Care Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Walton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2019; 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.