Organization Active NPI

Heavenly Hearts Adult Day Care, Inc.

  • Adult Day Care Clinic/Center
  • Staten Island, NY
National Provider Identifier
1073064267
Registry record updated Oct 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
HEAVENLY HEARTS ADULT DAY CARE, INC.
Practice address
500 Todt Hill Rd
Staten Island, NY 10304-1326
Phone
(551) 221-4028
NPI assigned
Oct 22, 2016
Last updated
Oct 22, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2016

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

Authorized official

Name
Bishop David Anba
Title
President
Phone
(551) 221-4028

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

500 Todt Hill Rd
Staten Island, NY 10304-1326

Mailing address

500 Todt Hill Rd
Staten Island, NY 10304-1326

National Provider Directory

National Provider Directory

Locations

500 Todt Hill Rd
Staten Island, NY 10304
Phone (551) 221-4028

NPI Registry JSON

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

{
    "created_epoch": "1477094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477094400000",
    "number": "1073064267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 TODT HILL RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103041326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 TODT HILL RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103041326",
            "telephone_number": "551-221-4028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY HEARTS ADULT DAY CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-22",
        "last_updated": "2016-10-22",
        "status": "A",
        "authorized_official_last_name": "ANBA",
        "authorized_official_first_name": "BISHOP",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "551-221-4028"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2016; 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.