Organization Active NPI

Heartwell Home Health Care Corp.

  • Behavior Analyst
  • Doral, FL
National Provider Identifier
1972272979
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
HEARTWELL HOME HEALTH CARE CORP.
Practice address
2500 NW 79TH Ave Ste 116
Doral, FL 33122-1075
Phone
(305) 591-7898
NPI assigned
Sep 13, 2021
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Siuska Gonzalez
Title
Administrator
Phone
(305) 591-7898

Corporate family (same tax ID) 2

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

Practitioners 157

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

View all 157

National Provider Directory

National Provider Directory
Tax ID family
Heartwell Home Health Care Corp (3 organizations share this tax ID)

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

2500 NW 79TH Ave Ste 116
Doral, FL 33122-1075

Mailing address

2500 NW 79TH Ave Ste 116
Doral, FL 33122-1075
Phone (305) 591-7898

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
017660300MedicaidFL

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 13, 2021.

{
    "created_epoch": "1631491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631491200000",
    "number": "1972272979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 NW 79TH AVE STE 116",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331221075",
            "telephone_number": "305-591-7898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 NW 79TH AVE STE 116",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331221075",
            "telephone_number": "305-591-7898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTWELL HOME HEALTH CARE CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-13",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "SIUSKA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-591-7898"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017660300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; 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.