Active NPI
Heavenly Hands Companion LLC
- Home Health Agency
- Fort MC Coy, FL
National Provider Identifier
1447830765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- HEAVENLY HANDS COMPANION LLC
- Practice address
- 15200 NE 146TH CT
Fort MC Coy, FL 32134-8014 - Phone
- (352) 533-1727
- NPI assigned
- Apr 12, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kayla D Kingsley
- Title
- Owner
- Phone
- (352) 533-1727
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
15200 NE 146TH CT
Fort MC Coy, FL 32134-8014
Mailing address
15200 NE 146TH CT
Fort MC Coy, FL 32134-8014
Phone (352) 533-1727
Other names 1
- Heavenly Hands Companion LLC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618185600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1618185600000",
"number": "1447830765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15200 NE 146TH CT",
"city": "FORT MC COY",
"state": "FL",
"postal_code": "321348014",
"telephone_number": "352-533-1727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15200 NE 146TH CT",
"city": "FORT MC COY",
"state": "FL",
"postal_code": "321348014",
"telephone_number": "352-533-1727"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEAVENLY HANDS COMPANION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-04-12",
"last_updated": "2021-04-12",
"certification_date": "2021-04-12",
"status": "A",
"authorized_official_last_name": "KINGSLEY",
"authorized_official_first_name": "KAYLA",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "352-533-1727"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Heavenly Hands Companion LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Fort MC Coy, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.