Organization
OUR HEARTS HOME CARE & STAFFING LLC
Active
Parent organization
OUR HEARTS HOME CARE & STAFFING LLC
Other names
Our Hearts Home Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
OUR HEARTS HOME CARE & STAFFING LLC
Authorized official
MRS. CHEVELLE R JORDAN REGISTERED NURSE (CEO)
(727) 674-1800
Entity
Organization
Contact information
Practice address
2822 54TH AVE S # 150, ST PETERSBURG, FL 33712-4610
(866) 757-5858
(866) 757-5858
Mailing address
235 APOLLO BEACH BLVD # 182, APOLLO BEACH, FL 33572-2251
(813) 603-3096
(866) 757-5858
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108510800
—
FL
01
—
237242
AHCA LICENSE - PASCO, PINELLAS
FL
Enumeration date
05/31/2022
Last updated
05/31/2022
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