Active NPI
Heavenly Sent Home Care Services LLC
- In Home Supportive Care Agency
- Raleigh, NC
National Provider Identifier
1144894973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ========= | Medicaid | NC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | heavenlysenthomecareservices@gmail.com | Direct |
National Provider Directory
National Provider DirectoryLocations
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.