Our Hearts Your Home LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

OUR HEARTS YOUR HOME LLC

Practice address

4840 Hatteras Rd
Jacksonville, FL 32208-1853

Phone

(904) 422-1345

Fax

(904) 439-7613

NPI assigned

May 12, 2023

Organization subpart

No

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

Authorized official

Name

Iman Hall, RN

Title

Owner

Phone

(904) 422-1345

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1683849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683849600000",
    "number": "1982394862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14573 CHRISTEN DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322180827",
            "telephone_number": "904-422-1345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4840 HATTERAS RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322081853",
            "telephone_number": "904-422-1345",
            "fax_number": "904-439-7613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR HEARTS YOUR HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-12",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "IMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-422-1345",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 May 12, 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.