Organization · NPI-2

Heart Of Purpose Foundation INC

Clinic/Center, Federally Qualified Health Center (FQHC) · Dallas, TX

NPI number1912573452

StatusActive

Last updated in NPPESJun 4, 2021

Details

NPI: 1912573452
Entity type: Organization (NPI-2)
Legal business name: Heart Of Purpose Foundation INC
Organization subpart: No
Enumeration date: Jun 3, 2021
Certification date: Jun 4, 2021
Last updated: Jun 4, 2021

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
261QF0400X	Clinic/Center, Federally Qualified Health Center (FQHC)	–	–	Yes
174200000X	Meals	–	–
177F00000X	Lodging	–	–
251K00000X	Public Health or Welfare	–	–
251V00000X	Voluntary or Charitable	–	–
253Z00000X	In Home Supportive Care	–	–
261QP2300X	Clinic/Center, Primary Care	–	–
261QR0400X	Clinic/Center, Rehabilitation	–	–
261QR0800X	Clinic/Center, Recovery Care	–	–
261QR1100X	Clinic/Center, Research	–	–
332B00000X	Durable Medical Equipment & Medical Supplies	–	–
332U00000X	Home Delivered Meals	–	–
333300000X	Emergency Response System Companies	–	–
342000000X	Transportation Network Company	–	–
347C00000X	Private Vehicle	–	–

Other names

Jb Professional Sports Med Clinic (Doing Business As)

Practice location

325 N Saint Paul St Ste 3100
Dallas, TX 75201-3923

Phone 469-781-0350

Mailing address

3330 N Galloway Ave Ste 304132
Mesquite, TX 75150-4728

Phone 469-781-0350

Other practice locations

2520 Spring Creek Dr
Balch Springs, TX 75180-1260

Phone 682-240-7695

Authorized official

Jonnita Brown
Owner / Athletic Director
4697810350

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