Organization Active NPI

Heavens Angels Services LLC

  • In Home Supportive Care Agency
  • Avon Park, FL
National Provider Identifier
1104546902
Registry record updated Aug 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
HEAVENS ANGELS SERVICES LLC
Practice address
1405 Leo Jefferson Ave
Avon Park, FL 33825-4734
Phone
(186) 471-7025
Fax
(863) 884-1461
NPI assigned
Aug 31, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2022

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

Authorized official

Name
Seivey SpryNPI 1306438429
Title
Adminstrator
Phone
(863) 471-7025

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1405 Leo Jefferson Ave
Avon Park, FL 33825-4734

Mailing address

1405 Leo Jefferson Ave
Avon Park, FL 33825-4734
Phone (186) 471-7025

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1661904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661904000000",
    "number": "1104546902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 LEO JEFFERSON AVE",
            "city": "AVON PARK",
            "state": "FL",
            "postal_code": "338254734",
            "telephone_number": "186-471-7025",
            "fax_number": "863-884-1461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 LEO JEFFERSON AVE",
            "city": "AVON PARK",
            "state": "FL",
            "postal_code": "338254734",
            "telephone_number": "186-471-7025",
            "fax_number": "863-884-1461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENS ANGELS SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-31",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A",
        "authorized_official_last_name": "SPRY",
        "authorized_official_first_name": "SEIVEY",
        "authorized_official_title_or_position": "ADMINSTRATOR",
        "authorized_official_telephone_number": "863-471-7025"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; 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.