Active NPI
Heavenly Health Care Center, LLC
- Geriatric Medicine (Family Medicine) Physician
- Miramar, FL
National Provider Identifier
1053906388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- Legal business name
- HEAVENLY HEALTH CARE CENTER, LLC
- Practice address
- 7201 Harbour Blvd
Miramar, FL 33023-6558 - Phone
- (305) 397-5060
- NPI assigned
- Mar 8, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lunie Madhere
- Title
- Aprn
- Phone
- (305) 397-5060
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | Primary |
Addresses
Primary practice location
7201 Harbour Blvd
Miramar, FL 33023-6558
Mailing address
7201 Harbour Blvd
Miramar, FL 33023-6558
Phone (130) 539-7506
Other names 1
- Heavenly Health Care Center, LLC
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | URL | Health Information Exchange (HIE) |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Miami, FL
- NPI 1245758812
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615161600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1615161600000",
"number": "1053906388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7201 HARBOUR BLVD",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330236558",
"telephone_number": "130-539-7506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7201 HARBOUR BLVD",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330236558",
"telephone_number": "305-397-5060"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEAVENLY HEALTH CARE CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-08",
"last_updated": "2021-03-08",
"certification_date": "2021-03-08",
"status": "A",
"authorized_official_last_name": "MADHERE",
"authorized_official_first_name": "LUNIE",
"authorized_official_title_or_position": "APRN",
"authorized_official_telephone_number": "305-397-5060"
},
"taxonomies": [
{
"code": "207QG0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine, Geriatric Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "URL",
"affiliation": "N",
"endpointDescription": "URL",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "7201 Harbour Blvd",
"city": "Miramar",
"state": "FL",
"country_code": "US",
"postal_code": "330236558",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Heavenly Health Care Center, LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Miramar, FL
- Healthplus Pharmacy Inc
- Healthstone Medical Group, LLC
- Healthy Minds Healthy Hearts Therapeutic Services, LLC
- Healthy Practice Inc
- Heavenly Foods
- Heavenly Touch Home Health Care of Broward Corp
- Bhavani Hebbar, MD
- Dayli Hechavarria Amaro
- Mohamed A Hegazy, MD, SA
- Helping Hands for Homemaking and Companionship LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.