Organization Active NPI

Heaven'S Halo

  • Home Health Agency
  • Bardstown, KY
National Provider Identifier
1396480604
Registry record updated May 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HEAVEN'S HALO
Practice address
101 Manor Ave Ste 100
Bardstown, KY 40004-3211
Phone
(502) 348-0439
NPI assigned
May 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2022

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

Authorized official

Name
Rachel Fern Dean
Title
Owner
Phone
(502) 510-0591

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

101 Manor Ave Ste 100
Bardstown, KY 40004-3211

Mailing address

101 Manor Ave Ste 100
Bardstown, KY 40004-3211
Phone (502) 348-0439

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1651449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651449600000",
    "number": "1396480604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MANOR AVE STE 100",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400043211",
            "telephone_number": "502-348-0439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MANOR AVE STE 100",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400043211",
            "telephone_number": "502-348-0439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVEN'S HALO",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-02",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A",
        "authorized_official_last_name": "DEAN",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "FERN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-510-0591"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bardstown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; 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.