Organization Active NPI

Home Heart & Health

  • Adult Care Home Facility
  • Carmel, CA
National Provider Identifier
1891104279
Registry record updated Aug 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
146738955 Issued in CA
Legal business name
HOME HEART & HEALTH
Practice address
10172 Oakwood Cir
Carmel, CA 93923
Phone
(702) 675-2211
NPI assigned
Aug 11, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2014

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

Authorized official

Name
Tena Dorthiia Jackson, NURSE
Title
Owner
Phone
(702) 675-2211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 146738955 CA Primary

Addresses

Primary practice location

10172 Oakwood Cir
Carmel, CA 93923

Mailing address

10172 Oakwood Cir
Carmel, CA 93923
Phone (702) 675-2211

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1407715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407715200000",
    "number": "1891104279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10172 OAKWOOD CIR",
            "city": "CARMEL",
            "state": "CA",
            "postal_code": "93923",
            "telephone_number": "702-675-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10172 OAKWOOD CIR",
            "city": "CARMEL",
            "state": "CA",
            "postal_code": "93923",
            "telephone_number": "702-675-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME HEART & HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-11",
        "last_updated": "2014-08-11",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "TENA",
        "authorized_official_middle_name": "DORTHIIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-675-2211",
        "authorized_official_credential": "NURSE"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "CA",
            "license": "146738955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2014; 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.