Heavenly Home Care Services, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

HEAVENLY HOME CARE SERVICES, LLC

Practice address

247 28TH St # 207
Newport News, VA 23607-3907

Phone

(757) 577-5122

NPI assigned

Feb 28, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Eric Woods, CNA/MEDTECH

Title

Owner/Administration

Phone

(757) 952-9605

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1646006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646006400000",
    "number": "1427704493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5695",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236050695",
            "telephone_number": "757-952-9605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 28TH ST # 207",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236073907",
            "telephone_number": "757-577-5122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY HOME CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-28",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A",
        "authorized_official_last_name": "WOODS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATION",
        "authorized_official_telephone_number": "757-952-9605",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CNA/MEDTECH"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.