Active NPI
Heavenly Hands Home Care LLC
- Home Health Agency
- Acworth, GA
National Provider Identifier
1336835354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- HEAVENLY HANDS HOME CARE LLC
- Practice address
- 5011 Kendall Sta NW
Acworth, GA 30102-7962 - Phone
- (401) 485-0045
- NPI assigned
- Apr 13, 2023
- Last updated
- Apr 13, 2023
- 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
- Krystle Darosa
- Title
- Owner
- Phone
- (401) 485-0045
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
5011 Kendall Sta NW
Acworth, GA 30102-7962
Mailing address
5011 Kendall Sta NW
Acworth, GA 30102-7962
Phone (401) 485-0045
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681344000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1681344000000",
"number": "1336835354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5011 KENDALL STA NW",
"city": "ACWORTH",
"state": "GA",
"postal_code": "301027962",
"telephone_number": "401-485-0045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5011 KENDALL STA NW",
"city": "ACWORTH",
"state": "GA",
"postal_code": "301027962",
"telephone_number": "401-485-0045"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEAVENLY HANDS HOME CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-04-13",
"last_updated": "2023-04-13",
"certification_date": "2023-04-13",
"status": "A",
"authorized_official_last_name": "DAROSA",
"authorized_official_first_name": "KRYSTLE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "401-485-0045"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Acworth, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.