MEDICARE: OUR HEART TO YOURS INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency
2	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1518647577
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OUR HEART TO YOURS INC.

Provider Business Mailing Address
First Line	:	14042 MOUNT PLEASANT RD
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32225-2508
Country	:	US
Telephone Number	:	904-206-3224
Fax Number	:

Provider Business Practice Location Address
First Line	:	14042 MOUNT PLEASANT RD
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32225-2508
Country	:	US
Telephone Number	:	904-405-3224
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	ALAYA JOVAN DAVIS
Credential	:
Telephone Number	:	904-206-3224

Provider Enumeration Date	:	07/24/2023
Last Update Date	:	08/14/2023

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Directions to “OUR HEART TO YOURS INC. ” Practice Location

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