Sacred Heart Home Healthcare, LLC

Primary specialty

HomemakerTaxonomy code 376J00000X

Legal business name

SACRED HEART HOME HEALTHCARE, LLC

Practice address

1992 Lewis Turner Blvd Ste 1130
Fort Walton Beach, FL 32547-1255

Phone

(850) 801-1559

Fax

(850) 801-1560

NPI assigned

Feb 6, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Tyron Steele

Title

President

Phone

(850) 801-1559

Specialties & licenses 5

Addresses

Other names 1

• Sacred Heart Homemaker and Companion Service, LLC Doing business as

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

{
    "created_epoch": "1707177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707177600000",
    "number": "1801650379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1992 LEWIS TURNER BLVD STE 1130",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325471255",
            "telephone_number": "850-801-1559",
            "fax_number": "850-801-1560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1992 LEWIS TURNER BLVD STE 1130",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325471255",
            "telephone_number": "850-801-1559",
            "fax_number": "850-801-1560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED HEART HOME HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-06",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A",
        "authorized_official_last_name": "STEELE",
        "authorized_official_first_name": "TYRON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-801-1559",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Driver",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sacred Heart Homemaker and Companion Service, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Juliette Adelle Russo, PA-C
• Walter Clifford Rustmann, DO
• S a Levitus L C S W P a
• Pierre St. Raymond Saal, MS
• George Dosdos Sacla, LMT
• Sacred Tides Concierge Nursing Services Inc
• Rachele Elizabeth Sage, BCBA
• Saint George Medical Center Inc
• Hannah Salvador
• Megan Salzlein, DMD

• Homemaker in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Homemaker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; 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.