# OUR HEARTS CARE MANAGEMENT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** OUR HEARTS HOME CARE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669092979
- **Authorized official:** MRS. CHEVELLE R JORDAN REGISTERED NURSE (CEO/ ADMINISTRATOR)
- **Authorized official phone:** (866) 757-5858

## Contact information

- **Practice address:** 239 CASCADE BEND DR, RUSKIN, FL 33570-6396
- **Practice address phone:** (866) 757-5858
- **Practice address fax:** (866) 757-5858
- **Mailing address:** 235 APOLLO BEACH BLVD \# 182, APOLLO BEACH, FL 33572-2251
- **Mailing address phone:** (866) 757-5858
- **Mailing address fax:** (866) 757-5858

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 104100000X | Social Worker | — | NULL | — |
| 104100000X | Social Worker | — | — | — |
| 251B00000X | Case Management Agency | — | NULL | Yes |
| 251E00000X | Home Health Agency | — | NULL | — |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 04/17/2020
- **Last updated:** 04/17/2020
