Organization Active NPI

Heavenly Places Home Care Health Services LLC

  • Home Health Agency
  • Elkridge, MD
National Provider Identifier
1346068277
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HEAVENLY PLACES HOME CARE HEALTH SERVICES LLC
Doing business as
Staffing and referral solutions
Practice address
7021 Mahant Way
Elkridge, MD 21075-5460
Phone
(301) 356-7034
NPI assigned
Sep 30, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Authorized official

Name
Ms. Yvonne KubiNPI 1508454406
Title
Administratior
Phone
(301) 356-7034

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
In Home Supportive Care Agency 253Z00000X
Private Vehicle 347C00000X

Addresses

Primary practice location

7021 Mahant Way
Elkridge, MD 21075-5460

Mailing address

7021 Mahant Way
Elkridge, MD 21075-5460
Phone (301) 356-7034

Other names 1

  • Staffing and referral solutions Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1727654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727654400000",
    "number": "1346068277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7021 MAHANT WAY",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210755460",
            "telephone_number": "301-356-7034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7021 MAHANT WAY",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210755460",
            "telephone_number": "301-356-7034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY PLACES HOME CARE HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-30",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A",
        "authorized_official_last_name": "KUBI",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_title_or_position": "ADMINISTRATIOR",
        "authorized_official_telephone_number": "301-356-7034",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Staffing and referral solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elkridge, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; 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.