Heart-Active LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

HEART-ACTIVE LLC

Practice address

1323 Broadway St
Little Rock, AR 72202-4843

Phone

(501) 580-3335

NPI assigned

Jan 18, 2022

Organization subpart

No

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

Authorized official

Name

Ruth L Eudy, PHDNPI 1174284624

Title

Incorporator/Organizer

Phone

(501) 580-3335

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 1

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

• Ruth L Eudy, LCSW

  • Clinical Social Worker
  • Little Rock, AR
  • NPI 1174284624
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1642464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642464000000",
    "number": "1801547146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1323 BROADWAY ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722024843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1323 BROADWAY ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722024843",
            "telephone_number": "501-580-3335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART-ACTIVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-18",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A",
        "authorized_official_last_name": "EUDY",
        "authorized_official_first_name": "RUTH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "INCORPORATOR/ORGANIZER",
        "authorized_official_telephone_number": "501-580-3335",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Garbo Watson Hearne, NP
• Katrina Ann Hearns- Banks, FNP
• H Graves Hearnsberger III, M.D.
• Heart Clinic Arkansas
• Heart Matters Therapy, PLLC
• Heartcare Clinic
• Elizabeth Maurer Heath, D.D.S., M.S.D.
• Tara Heath, CRNA
• Heathman Family Dental Inc
• Montgomery D. Heathman, DDS

• Mental Health Clinic/Center (Including Community Mental Health Center) in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; 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.