Provider Demographics
NPI:1568101921
Name:3 HEARTS GROUP HOME
Entity Type:Organization
Organization Name:3 HEARTS GROUP HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR/ OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANIDE
Authorized Official - Middle Name:
Authorized Official - Last Name:NAPAUL
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:772-361-3970
Mailing Address - Street 1:4026 SW MC CANDLESS ST
Mailing Address - Street 2:
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34953-6441
Mailing Address - Country:US
Mailing Address - Phone:772-361-3970
Mailing Address - Fax:
Practice Address - Street 1:4026 SW MC CANDLESS ST
Practice Address - Street 2:
Practice Address - City:PORT ST LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34953-6441
Practice Address - Country:US
Practice Address - Phone:772-361-3970
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-02
Last Update Date:2022-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care HomeGroup - Multi-Specialty
No163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty
No251E00000XAgenciesHome HealthGroup - Multi-Specialty
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
No385H00000XRespite Care FacilityRespite Care