Heavenly Home Care LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

HEAVENLY HOME CARE LLC

Practice address

4201 N Federal Hwy
Suite 2J
Pompano Beach, FL 33064-6048

Phone

(561) 503-0453

Fax

(561) 200-4153

NPI assigned

Nov 10, 2016

Organization subpart

No

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

Authorized official

Name

Wilbert Saint Jour

Title

Owner

Phone

(561) 543-0791

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1478736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478736000000",
    "number": "1235671009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 N FEDERAL HWY",
            "address_2": "SUITE 2J",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330646048",
            "telephone_number": "561-503-0453",
            "fax_number": "561-200-4153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 N FEDERAL HWY",
            "address_2": "SUITE 2J",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330646048",
            "telephone_number": "561-503-0453",
            "fax_number": "561-200-4153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-10",
        "last_updated": "2016-11-10",
        "status": "A",
        "authorized_official_last_name": "SAINT JOUR",
        "authorized_official_first_name": "WILBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-543-0791"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2016; 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.