Organization Active NPI

Heavens Home Health Services LLC

  • Home Health Agency
  • Saint Charles, MO
National Provider Identifier
1093241234
Registry record updated May 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HEAVENS HOME HEALTH SERVICES LLC
Practice address
3930 S Old Highway 94 Ste 107-107a
Saint Charles, MO 63304-2836
Phone
(636) 362-2200
Fax
(636) 362-2354
NPI assigned
May 9, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2017

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

Authorized official

Name
Mornay Kennedy
Title
Executive Director
Phone
(314) 504-5332

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

3930 S Old Highway 94 Ste 107-107a
Saint Charles, MO 63304-2836

Mailing address

3930 S Old Highway 94 Ste 107-107a
Saint Charles, MO 63304-2836
Phone (636) 362-2200

National Provider Directory

National Provider Directory
Tax ID family
Heaven's Home Health Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3930 S Old Highway 94
Ste 107107A
Saint Charles, MO 63304
Phone (636) 362-2200

NPI Registry JSON

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

{
    "created_epoch": "1494288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494288000000",
    "number": "1093241234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3930 S OLD HIGHWAY 94 STE 107-107A",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633042836",
            "telephone_number": "636-362-2200",
            "fax_number": "636-362-2354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3930 S OLD HIGHWAY 94 STE 107-107A",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633042836",
            "telephone_number": "636-362-2200",
            "fax_number": "636-362-2354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENS HOME HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-09",
        "last_updated": "2017-05-09",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "MORNAY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "314-504-5332"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Charles, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2017; 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.