NPIMap

Organization Active NPI

Heavenly Senior Care LLC

  • In Home Supportive Care Agency
  • Ft Lauderdale, FL
National Provider Identifier
1003346263
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
HEAVENLY SENIOR CARE LLC
Practice address
115 SW 9TH Ter Apt 303
Ft Lauderdale, FL 33312-1744
Phone
(954) 281-6815
NPI assigned
Jun 19, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Harry Polycarpe
Title
Administrator
Phone
(954) 281-6815

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

115 SW 9TH Ter Apt 303
Ft Lauderdale, FL 33312-1744

Mailing address

115 SW 9TH Ter Apt 303
Ft Lauderdale, FL 33312-1744
Phone (954) 281-6815

Other names 1

  • Heavenly Senior Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1497830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1003346263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 SW 9TH TER APT 303",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333121744",
            "telephone_number": "954-281-6815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 SW 9TH TER APT 303",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333121744",
            "telephone_number": "954-281-6815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY SENIOR CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-19",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "POLYCARPE",
        "authorized_official_first_name": "HARRY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "954-281-6815",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heavenly Senior Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ft Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.