Organization Active NPI

Heaven Sent Home Support Services LLC

  • Home Health Aide
  • Southfield, MI
National Provider Identifier
1104484427
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Legal business name
HEAVEN SENT HOME SUPPORT SERVICES LLC
Practice address
25625 Southfield Rd Ste 208
Southfield, MI 48075-1854
Phone
(248) 262-7111
NPI assigned
Jun 1, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Barbara Arrington
Title
Owner
Phone
(248) 262-7111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health AideGroup: 193400000X SINGLE SPECIALTY GROUP 374U00000X Primary

Addresses

Primary practice location

25625 Southfield Rd Ste 208
Southfield, MI 48075-1854

Mailing address

25625 Southfield Rd Ste 208
Southfield, MI 48075-1854
Phone (248) 262-7111

Other identifiers 3

IdentifierTypeStateIssuer
0007190MedicaidMI
7398400MedicaidMI
0007190OtherMIMEDICAID

National Provider Directory

National Provider Directory

Locations

25625 Southfield Rd
Ste 208
Southfield, MI 48075
Phone (248) 262-7111

NPI Registry JSON

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

{
    "created_epoch": "1559347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1104484427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25625 SOUTHFIELD RD STE 208",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480751854",
            "telephone_number": "248-262-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25625 SOUTHFIELD RD STE 208",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480751854",
            "telephone_number": "248-262-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVEN SENT HOME SUPPORT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-01",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "ARRINGTON",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-262-7111"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007190",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7398400",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "0007190",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.