Organization
PUDDLE OF HEARTS HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYTONYA FREEMAN (CEO)
(904) 835-0722
Entity
Organization
Contact information
Practice address
7316 WILDER AVE, JACKSONVILLE, FL 32208-4270
(904) 612-9079
Mailing address
7316 WILDER AVE, JACKSONVILLE, FL 32208-4270
(904) 835-0722
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385H00000X
Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109991500
—
FL
01
—
237556
AHCA
FL
01
—
239897
AHCA
FL
01
—
240785
AHCA
FL
01
—
241309
AHCA
FL
01
—
763
AHCA
FL
Enumeration date
06/22/2021
Last updated
03/23/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us