Organization Active NPI

Heavenly Care Incorporated

  • Home Health Agency
  • Collingdale, PA
National Provider Identifier
1194363085
Registry record updated Dec 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HEAVENLY CARE INCORPORATED
Practice address
1004 Hansen PL
Collingdale, PA 19023-4001
Phone
(856) 441-0553
NPI assigned
Dec 11, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2019

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

Authorized official

Name
Charam Colmon
Title
Ceo
Phone
(267) 256-9269

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1004 Hansen PL
Collingdale, PA 19023-4001

Mailing address

1004 Hansen PL
Collingdale, PA 19023-4001
Phone (856) 441-0553

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1576022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576022400000",
    "number": "1194363085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 HANSEN PL",
            "city": "COLLINGDALE",
            "state": "PA",
            "postal_code": "190234001",
            "telephone_number": "856-441-0553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 HANSEN PL",
            "city": "COLLINGDALE",
            "state": "PA",
            "postal_code": "190234001",
            "telephone_number": "856-441-0553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY CARE INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-11",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A",
        "authorized_official_last_name": "COLMON",
        "authorized_official_first_name": "CHARAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "267-256-9269"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Collingdale, PA

Sources for this page

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