MAHONEY'S HEART NPI 1376227132

NPI Information

NPI: 1376227132
Provider Name: MAHONEY'S HEART
Classification: Registered Nurse - 163WC0400X
Entity Type: Organization

Specialization: Case Management

Address:
304 BROYLES DR SE
PALM BAY, FL
ZIP 32909
Phone: (727) 846-2469
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MAHONEY'S HEART is a case management registered nurse in Palm Bay, FL. MAHONEY'S HEART NPI is 1376227132. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

304 BROYLES DR SE
PALM BAY, FL
ZIP 32909-353
Phone: (727) 846-2469

The provider's authorized official is Charles Potts .
The authorized official title is Medical Director and has the following contact phone number (606) 585-5448.

The enumeration date for this NPI number is 6/12/2023 and was last updated on 6/12/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	163WG0000X	Registered Nurse	General Practice	No
2	251B00000X	Case Management		No
3	251E00000X	Home Health		No
4	251F00000X	Home Infusion		No
5	251J00000X	Nursing Care		No
6	251T00000X	Program of All-Inclusive Care for the Elderly (PACE) Provider Organization		No
7	253Z00000X	In Home Supportive Care		No
8	343900000X	Non-emergency Medical Transport (VAN)		No
9	163WC0400X	Registered Nurse	Case Management	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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