MEDICARE: UNITED HARTS CARE SERVICES LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	106S00000X	Behavior Technician
2	164W00000X	Licensed Practical Nurse
3	251C00000X	Developmentally Disabled Services Day Training Agency
4	251E00000X	Home Health Agency
5	251J00000X	Nursing Care Agency
6	253Z00000X	In Home Supportive Care Agency
7	372600000X	Adult Companion
8	376J00000X	Homemaker
9	376K00000X	Nurse's Aide
10	261QD1600X	Developmental Disabilities Clinic/Center

General Provider Information

NPI Number	:	1649118241
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNITED HARTS CARE SERVICES LLC

Provider Business Mailing Address
First Line	:	6501 ARLINGTON EXPY STE B105
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32211-0810
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5319 GOLF COURSE DR
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32277-1319
Country	:	US
Telephone Number	:	904-226-1413
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. SHEILA TILLMAN
Credential	:
Telephone Number	:	904-226-1413

Provider Enumeration Date	:	03/24/2026
Last Update Date	:	03/24/2026

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Directions to “UNITED HARTS CARE SERVICES LLC ” Practice Location

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