Heavenly Caregivers LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

HEAVENLY CAREGIVERS LLC

Practice address

1043 E Rosebud Dr
San Tan Valley, AZ 85143-6330

Phone

(480) 818-3054

Fax

(480) 304-4857

NPI assigned

May 1, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Carol Ann Dimaulo

Title

Owner

Phone

(480) 818-3054

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1430438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430438400000",
    "number": "1376920025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1043 E ROSEBUD DR",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851436330",
            "telephone_number": "480-818-3054",
            "fax_number": "480-304-4857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1043 E ROSEBUD DR",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851436330",
            "telephone_number": "480-818-3054",
            "fax_number": "480-304-4857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY CAREGIVERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-01",
        "last_updated": "2015-05-01",
        "status": "A",
        "authorized_official_last_name": "DIMAULO",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-818-3054",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in San Tan Valley, AZ
• Providers in San Tan Valley, AZ by specialty
• In Home Supportive Care Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2015; 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.