Organization Active NPI

Heavenly Sent Home Care Services LLC

  • In Home Supportive Care Agency
  • Raleigh, NC
National Provider Identifier
1144894973
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
HEAVENLY SENT HOME CARE SERVICES LLC
Practice address
5909 Falls of the Neuse Road
100 C
Raleigh, NC 27609-8510
Phone
(571) 282-8924
NPI assigned
May 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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

Authorized official

Name
Shameequr Renee Robbins
Title
Owner
Phone
(571) 282-8924

Specialties & licenses 1

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

Addresses

Primary practice location

5909 Falls of the Neuse Road
100 C
Raleigh, NC 27609-8510

Mailing address

5909 Falls of the Neuse Road
Ste 100C
Raleigh, NC 27609-8510
Phone (571) 282-8924

Other practice location 1

111 Bain Street
Ste 310
Greensboro, NC 27406
Phone (571) 282-8924

Other identifiers 1

IdentifierTypeStateIssuer
=========MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL heavenlysenthomecareservices@gmail.com Direct

National Provider Directory

National Provider Directory

Locations

111 Bain St
Ste 310
Greensboro, NC 27406
Phone (571) 282-8924

1100 Logger Ct
Ste E102
Raleigh, NC 27609
Phone (919) 900-7200

5909 Falls of Neuse Rd
#100C
Raleigh, NC 27609
Phone (571) 282-8924

5909 Falls of Neuse Rd
Ste 100C
Raleigh, NC 27609

NPI Registry JSON

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

{
    "created_epoch": "1621209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735516800000",
    "number": "1144894973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5909 FALLS OF THE NEUSE ROAD",
            "address_2": "STE 100C",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276098510",
            "telephone_number": "571-282-8924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5909 FALLS OF THE NEUSE ROAD",
            "address_2": "100 C",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276098510",
            "telephone_number": "571-282-8924"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Bain Street",
            "address_2": "Ste 310",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "27406",
            "country_code": "US",
            "telephone_number": "571-282-8924",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEAVENLY SENT HOME CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-17",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A",
        "authorized_official_last_name": "ROBBINS",
        "authorized_official_first_name": "SHAMEEQUR",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "571-282-8924"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "=========",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "heavenlysenthomecareservices@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1100 Logger Ct Ste E102",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276098510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; 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.