Hearthstone Fellowship Foundation, Inc

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

0764AD071101 Issued in FL

Legal business name

HEARTHSTONE FELLOWSHIP FOUNDATION, INC

Practice address

814 N Beach St
Daytona Beach, FL 32114-2234

Phone

(386) 238-1348

Fax

(386) 238-0171

NPI assigned

Aug 12, 2014

Organization subpart

No

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

Authorized official

Name

Janet G. Minor, M.S.

Title

Program Director

Phone

(386) 238-1348

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1407801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407801600000",
    "number": "1881003101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 N BEACH ST",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321142234",
            "telephone_number": "386-238-1348",
            "fax_number": "386-238-0171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 N BEACH ST",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321142234",
            "telephone_number": "386-238-1348",
            "fax_number": "386-238-0171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTHSTONE FELLOWSHIP FOUNDATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-12",
        "last_updated": "2014-08-12",
        "status": "A",
        "authorized_official_last_name": "MINOR",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "386-238-1348",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "FL",
            "license": "0764AD071101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Healthcare Specialists of Florida PLLC
• Healthquest Medical Partners, P.a.
• Hear Again LLC
• Heart Group PA
• Heart Rhythm Specialists at Daytona LLC
• Hearts of Serenity Home Health LLC
• Charles David Hechtman, MD, PH.D.
• Kara Heckerman
• Amal A Hegazy, RPH
• Moki Thon Moe Hein, MD

• Substance Use Disorder Rehabilitation Clinic/Center in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2014; 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.