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Organization

HEARTS IN UNITY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHAMILLE JENKINS (PRESIDENT)
(352) 301-3147
Entity
Organization

Contact information

Practice address
8296 SW 103RD STREET RD, OCALA, FL 34481-1701
(352) 301-3147
Mailing address
5 PECAN DRIVE LOOP, OCALA, FL 34472-6249
(352) 299-6847
(866) 624-1204

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
163WC1500X
Community Health Registered Nurse
164W00000X
Licensed Practical Nurse
172V00000X
Community Health Worker
251C00000X
Developmentally Disabled Services Day Training Agency
251E00000X
Home Health Agency
251J00000X
Nursing Care Agency
251S00000X
Community/Behavioral Health Agency
253J00000X
Foster Care Agency
253Z00000X
In Home Supportive Care Agency
347C00000X
Private Vehicle
372600000X
Adult Companion
373H00000X
Day Training/Habilitation Specialist
Primary
3747P1801X
Personal Care Attendant
385H00000X
Respite Care

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103717200
FL
Enumeration date
11/24/2020
Last updated
09/17/2021
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