Organization Active NPI

Heart of Resilience Homecare

  • Home Health Agency
  • Eagle Lake, FL
National Provider Identifier
1891563607
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HEART OF RESILIENCE HOMECARE
Practice address
237 St Georges Cir
Eagle Lake, FL 33839-5211
Phone
(863) 535-8954
NPI assigned
Dec 12, 2023
Last updated
Dec 12, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

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

Authorized official

Name
Shanell Vontres GrayNPI 1447028220
Title
Owner
Phone
(863) 535-8954

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
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

237 St Georges Cir
Eagle Lake, FL 33839-5211

Mailing address

237 St Georges Cir
Eagle Lake, FL 33839-5211
Phone (863) 535-8954

National Provider Directory

National Provider Directory

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": "1702339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702339200000",
    "number": "1891563607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 ST GEORGES CIR",
            "city": "EAGLE LAKE",
            "state": "FL",
            "postal_code": "338395211",
            "telephone_number": "863-535-8954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 ST GEORGES CIR",
            "city": "EAGLE LAKE",
            "state": "FL",
            "postal_code": "338395211",
            "telephone_number": "863-535-8954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART OF RESILIENCE HOMECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-12",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "SHANELL",
        "authorized_official_middle_name": "VONTRES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-535-8954"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle Lake, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; 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.