Organization Active NPI

Hearts for Healing LLC

  • In Home Supportive Care Agency
  • Atlanta, GA
National Provider Identifier
1780209007
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
HEARTS FOR HEALING LLC
Practice address
4930 Promenade Dr SW
Atlanta, GA 30331-8719
Phone
(404) 587-9162
NPI assigned
Jun 11, 2020
Last updated
Mar 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2023

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

Authorized official

Name
Ms. Latashia PrinceNPI 1306496971
Title
Owner
Phone
(404) 587-9162

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
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

4930 Promenade Dr SW
Atlanta, GA 30331-8719

Mailing address

1572 Highway 85 N Ste 204
Fayetteville, GA 30214-7726
Phone (404) 587-9162

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2248831Hearts for Healing LLC4930 Promenade Drive SW, Atlanta, GA 30331Certificate of waiverJan 17, 2028

National Provider Directory

National Provider Directory

Locations

1572 Highway 85 N
Ste 204
Fayetteville, GA 30214

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1591833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678060800000",
    "number": "1780209007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1572 HIGHWAY 85 N STE 204",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147726",
            "telephone_number": "404-587-9162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4930 PROMENADE DR SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303318719",
            "telephone_number": "404-587-9162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTS FOR HEALING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-11",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A",
        "authorized_official_last_name": "PRINCE",
        "authorized_official_first_name": "LATASHIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-587-9162",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.