Our Hearts Home Care & Staffing LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

OUR HEARTS HOME CARE & STAFFING LLC

Practice address

801 W Bay Dr # 113
Largo, FL 33770-3269

Phone

(727) 202-3838

Fax

(866) 757-5858

NPI assigned

Mar 14, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Chevelle R Jordan, RN

Title

Owner

Phone

(727) 202-3838

Specialties & licenses 4

Addresses

Other names 1

• Our Hearts Home Care Doing business as

Electronic endpoints 1

Tax ID family

Our Hearts Home Care Staffing LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Our Hearts Home Care & Staffing LLC

  • In Home Supportive Care Agency
  • Ruskin, FL
  • NPI 1356096119
  NPD tax ID
• Our Hearts Home Care & Staffing LLC

  • Developmental Disabilities Clinic/Center
  • Ruskin, FL
  • NPI 1366090946
  NPD tax ID
• Our Hearts Home Care & Staffing LLC

  • Developmental Disabilities Clinic/Center
  • St Petersburg, FL
  • NPI 1700525631
  NPD tax ID

Locations

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

{
    "created_epoch": "1678752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691625600000",
    "number": "1972204204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 APOLLO BEACH BLVD # 182",
            "city": "APOLLO BEACH",
            "state": "FL",
            "postal_code": "335722251",
            "telephone_number": "813-603-3096",
            "fax_number": "866-757-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W BAY DR # 113",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337703269",
            "telephone_number": "727-202-3838",
            "fax_number": "866-757-5858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR HEARTS HOME CARE & STAFFING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-14",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "CHEVELLE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-202-3838",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "9983.axiscare.com",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "801 W Bay Dr # 113",
            "city": "Largo",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337703269",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Our Hearts Home Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Our Hearts Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wendy Lynne Ott, LCSW
• Anthony Ottaviani, D.O.
• Tyler Theodore Otto
• Our Corner, LLC
• Our Family Doctors P L L C
• Carron J. Oxley, CRNA
• Elizabeth Rose Pacer, MD
• Theresa Lynn Paddock, OTR/L
• Helen Padilla, RN
• Rosali Padron Jerez, RBT

• In Home Supportive Care Agency in Largo, FL
• Providers in Largo, FL by specialty
• In Home Supportive Care Agency in Florida

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