Heaven on Earth Home Health Agency LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

HEAVEN ON EARTH HOME HEALTH AGENCY LLC

Practice address

4000 Presidential Blvd Apt 906
Philadelphia, PA 19131-1720

Phone

(570) 216-6183

NPI assigned

Jul 15, 2020

Organization subpart

No

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

Authorized official

Name

Cobeai Riley

Title

President

Phone

(570) 216-6183

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1594771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594771200000",
    "number": "1053929158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 PRESIDENTIAL BLVD APT 906",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191311720",
            "telephone_number": "570-216-6183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 PRESIDENTIAL BLVD APT 906",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191311720",
            "telephone_number": "570-216-6183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVEN ON EARTH HOME HEALTH AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-15",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A",
        "authorized_official_last_name": "RILEY",
        "authorized_official_first_name": "COBEAI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-216-6183"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• In Home Supportive Care Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2020; 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.