Organization Active NPI

Heart Centered Home Care

  • Adult Care Home Facility
  • Saint Clair Shores, MI
National Provider Identifier
1932980463
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
HEART CENTERED HOME CARE
Practice address
22725 Greater Mack Ave # 301B4017
Saint Clair Shores, MI 48080-2023
Phone
(586) 738-0372
NPI assigned
Oct 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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

Authorized official

Name
Bridgett MathisNPI 1992589758
Title
Ceo
Phone
(470) 798-7563

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
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

22725 Greater Mack Ave # 301B4017
Saint Clair Shores, MI 48080-2023

Mailing address

18288 Holland Ave
Eastpointe, MI 48021-2614
Phone (586) 738-0372

National Provider Directory

National Provider Directory

Locations

22725 Greater Mack Ave
#301B4017
Saint Clair Shores, MI 48080
Phone (586) 738-0372

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1696896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696896000000",
    "number": "1932980463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18288 HOLLAND AVE",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480212614",
            "telephone_number": "586-738-0372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22725 GREATER MACK AVE # 301B4017",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480802023",
            "telephone_number": "586-738-0372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART CENTERED HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-10",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A",
        "authorized_official_last_name": "MATHIS",
        "authorized_official_first_name": "BRIDGETT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "470-798-7563"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clair Shores, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.