Active NPI
Heavenly Companion, LLC
- Home Health Agency
- Jackson, MI
National Provider Identifier
1073198339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | heavenlycompanionhomecare@gmail.com |
National Provider Directory
National Provider DirectoryNPI 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.