Heavenly Providers, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HCA0000981 Issued in CT

Legal business name

HEAVENLY PROVIDERS, LLC

Practice address

1071 William St
Bridgeport, CT 06608

Phone

(203) 892-7291

Fax

(203) 296-2474

NPI assigned

Feb 4, 2016

Last updated

Feb 4, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Jessica Veronica Carrion

Title

Owner

Phone

(203) 892-7291

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1454544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454544000000",
    "number": "1285092346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1071 WILLIAM ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066081037",
            "telephone_number": "203-892-7291",
            "fax_number": "203-296-2474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1071 WILLIAM ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "06608",
            "telephone_number": "203-892-7291",
            "fax_number": "203-296-2474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY PROVIDERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-04",
        "last_updated": "2016-02-04",
        "status": "A",
        "authorized_official_last_name": "CARRION",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "VERONICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-892-7291",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CT",
            "license": "HCA0000981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Bridgeport, CT
• Providers in Bridgeport, CT by specialty
• Home Health Agency in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.