From the Heart Medwaiver Provider, Inc

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

FROM THE HEART MEDWAIVER PROVIDER, INC

Practice address

3001 Percy Rd
Jacksonville, FL 32218-2325

Phone

(904) 764-3127

Fax

(904) 764-2659

NPI assigned

Aug 2, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Charlotte Jean Caruso

Title

President

Phone

(904) 764-3127

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212624000000",
    "number": "1891702676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 PERCY RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322182325",
            "telephone_number": "904-764-3127",
            "fax_number": "904-764-2659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 PERCY RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322182325",
            "telephone_number": "904-764-3127",
            "fax_number": "904-764-2659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FROM THE HEART MEDWAIVER PROVIDER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-02",
        "last_updated": "2008-06-05",
        "status": "A",
        "authorized_official_last_name": "CARUSO",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-764-3127",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa M Frison, D.O.
• Lauren Fritz
• Bari Elyse Frohman, LMHC
• From the Ground Up Inc
• From the Ground Up Inc
• Jeanie Rae Francise Froman-Bohall, D.C.
• James Michael Dean Fromm, DO
• Alan P Frost, MD
• Justin Frost, CRNA
• Fruit Cove Family Medicine P a

• All providers in Jacksonville, FL
• Developmentally Disabled Services Day Training Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; 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.