Organization Active NPI

Heavenly Companion, LLC

  • Home Health Agency
  • Jackson, MI
National Provider Identifier
1073198339
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HEAVENLY COMPANION, LLC
Practice address
5158 Bluestone St
Jackson, MI 49201-8338
Phone
(517) 581-0967
NPI assigned
Mar 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

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

Authorized official

Name
Mrs. Betty Jean Briston
Title
Owner
Phone
(517) 581-0967

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

5158 Bluestone St
Jackson, MI 49201-8338

Mailing address

PO Box 1204
Jackson, MI 49204-1204
Phone (517) 581-0967

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL heavenlycompanionhomecare@gmail.com

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1615939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615939200000",
    "number": "1073198339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1204",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492041204",
            "telephone_number": "517-581-0967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5158 BLUESTONE ST",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492018338",
            "telephone_number": "517-581-0967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY COMPANION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-17",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A",
        "authorized_official_last_name": "BRISTON",
        "authorized_official_first_name": "BETTY",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-581-0967",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "heavenlycompanionhomecare@gmail.com",
            "affiliation": "N",
            "address_1": "5158 Bluestone St",
            "city": "Jackson",
            "state": "MI",
            "country_code": "US",
            "postal_code": "492018338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.

Verify at the official NPI Registry.