Organization Active NPI

Heavenly Realm Respite Services

  • Respite Care
  • Saginaw, MI
National Provider Identifier
1265932818
Registry record updated Nov 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
Legal business name
HEAVENLY REALM RESPITE SERVICES
Practice address
1215 E Genesee Ave
Saginaw, MI 48607-1748
Phone
(989) 401-7807
NPI assigned
Feb 20, 2018
Last updated
Nov 2, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2018

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

Authorized official

Name
Betty HolmesNPI 1346718871
Title
Owner
Phone
(989) 401-7807

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Respite Care 385H00000X Primary

Addresses

Primary practice location

1215 E Genesee Ave
Saginaw, MI 48607-1748

Mailing address

PO Box 3506
Saginaw, MI 48605-3506

Other names 1

  • Heavenly Realm Family Services Other name

National Provider Directory

National Provider Directory

Locations

1215 E Genesee Ave
Saginaw, MI 48607
Phone (989) 401-7807

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1519084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541116800000",
    "number": "1265932818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3506",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486053506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 E GENESEE AVE",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486071748",
            "telephone_number": "989-401-7807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY REALM RESPITE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-20",
        "last_updated": "2018-11-02",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "BETTY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-401-7807"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heavenly Realm Family Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Saginaw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2018; 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.