Active NPI
Heaven Sent Home Support Services LLC
- Home Health Aide
- Southfield, MI
National Provider Identifier
1104484427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0007190 | Medicaid | MI | |
| 7398400 | Medicaid | MI | |
| 0007190 | Other | MI | MEDICAID |
National Provider Directory
National Provider DirectoryLocations
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.