Heavenly Caregivers LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

HEAVENLY CAREGIVERS LLC

Practice address

260 Wentworth Ave E Ste 105
West Saint Paul, MN 55118-3525

Phone

(612) 388-1937

NPI assigned

Feb 4, 2025

Organization subpart

No

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

Authorized official

Name

Yasmin Mahamed

Title

Director

Phone

(612) 388-1937

Specialties & licenses 1

Addresses

Other names 1

• HEAVENLY CAREGIVERS LLC Doing business as

Locations

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

{
    "created_epoch": "1738627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738627200000",
    "number": "1376357947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 WENTWORTH AVE E STE 105",
            "city": "WEST SAINT PAUL",
            "state": "MN",
            "postal_code": "551183525",
            "telephone_number": "612-388-1937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 WENTWORTH AVE E STE 105",
            "city": "WEST SAINT PAUL",
            "state": "MN",
            "postal_code": "551183525",
            "telephone_number": "612-388-1937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY CAREGIVERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-04",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A",
        "authorized_official_last_name": "MAHAMED",
        "authorized_official_first_name": "YASMIN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "612-388-1937"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEAVENLY CAREGIVERS LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in West Saint Paul, MN
• Providers in West Saint Paul, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; 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.