NPIMap

Organization Active NPI

Heavenly Angels LLC.

  • Home Health Agency
  • Saint Clair Shores, MI
National Provider Identifier
1043045560
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HEAVENLY ANGELS LLC.
Practice address
22971 Alger St
Saint Clair Shores, MI 48080-3807
Phone
(313) 412-6468
Fax
(313) 447-2009
NPI assigned
Sep 4, 2024
Organization subpart
Yes
Parent organization
TAMIKA WILLIAMSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Authorized official

Name
Ms. Tamika WilliamsNPI 1720448137
Title
Supervisor/Owner
Phone
(313) 412-6468

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

22971 Alger St
Saint Clair Shores, MI 48080-3807

Mailing address

22971 Alger St
Saint Clair Shores, MI 48080-3807
Phone (313) 412-6468

Other names 1

  • HEAVENLY ANGELS LLC. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Heavenly Angels LLC2 organizations share this tax ID, including this one
Part of
Heavenly Angels LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1725408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725408000000",
    "number": "1043045560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22971 ALGER ST",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480803807",
            "telephone_number": "313-412-6468",
            "fax_number": "313-447-2009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22971 ALGER ST",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480803807",
            "telephone_number": "313-412-6468",
            "fax_number": "313-447-2009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY ANGELS LLC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TAMIKA WILLIAMS",
        "enumeration_date": "2024-09-04",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "TAMIKA",
        "authorized_official_title_or_position": "SUPERVISOR/OWNER",
        "authorized_official_telephone_number": "313-412-6468",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEAVENLY ANGELS LLC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Clair Shores, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; 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.