NPIMap

Organization Active NPI

Four Hearts Companion Services LLC

  • In Home Supportive Care Agency
  • Riviera Beach, FL
National Provider Identifier
1982155206
Registry record updated Apr 27, 2018
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Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
FOUR HEARTS COMPANION SERVICES LLC
Practice address
462 W 14TH St
Riviera Beach, FL 33404-6810
Phone
(561) 876-1541
NPI assigned
Oct 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2018

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

Authorized official

Name
Mrs. Jewel E McDonald
Title
Ceo/ President
Phone
(561) 876-1541

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X FL Primary

Addresses

Primary practice location

462 W 14TH St
Riviera Beach, FL 33404-6810

Mailing address

PO Box 10452
Riviera Beach, FL 33419-0452
Phone (561) 876-1541

Other practice location 1

211 Hawthorne Dr
Lake Park, FL 33403-2729
Phone (561) 557-1080

Other practice location 2

211 Hawthorne Dr
Lake Park, FL 33403-2729
Phone (561) 876-1541

Other identifiers 1

IdentifierTypeStateIssuer
019662800MedicaidFL

Other names 1

  • Four Hearts Special Services Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1477008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524787200000",
    "number": "1982155206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10452",
            "city": "RIVIERA BEACH",
            "state": "FL",
            "postal_code": "334190452",
            "telephone_number": "561-876-1541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "462 W 14TH ST",
            "city": "RIVIERA BEACH",
            "state": "FL",
            "postal_code": "334046810",
            "telephone_number": "561-876-1541"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "211 Hawthorne Dr",
            "address_purpose": "LOCATION",
            "city": "Lake Park",
            "state": "FL",
            "postal_code": "334032729",
            "country_code": "US",
            "telephone_number": "561-557-1080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "211 Hawthorne Dr",
            "address_purpose": "LOCATION",
            "city": "Lake Park",
            "state": "FL",
            "postal_code": "334032729",
            "country_code": "US",
            "telephone_number": "561-876-1541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FOUR HEARTS COMPANION SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-21",
        "last_updated": "2018-04-27",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "JEWEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO/ PRESIDENT",
        "authorized_official_telephone_number": "561-876-1541",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019662800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Four Hearts Special Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Riviera Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2018; 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.