Organization Active NPI

Heavenly Friends Home Healthcare Services LLC.

  • Health Maintenance Organization
  • Hampton, VA
National Provider Identifier
1457719205
Registry record updated Feb 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
HEAVENLY FRIENDS HOME HEALTHCARE SERVICES LLC.
Practice address
24 Palisade PT
Hampton, VA 23666-6029
Phone
(757) 618-7322
NPI assigned
Feb 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2016

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

Authorized official

Name
Tasha Sharida Smith
Title
Admin 1
Phone
(757) 618-7322

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X Primary

Addresses

Primary practice location

24 Palisade PT
Hampton, VA 23666-6029

Mailing address

24 Palisade PT
Hampton, VA 23666-6029
Phone (757) 618-7322

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1454889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454889600000",
    "number": "1457719205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 PALISADE PT",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236666029",
            "telephone_number": "757-618-7322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 PALISADE PT",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236666029",
            "telephone_number": "757-618-7322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY FRIENDS HOME HEALTHCARE SERVICES LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-08",
        "last_updated": "2016-02-08",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "TASHA",
        "authorized_official_middle_name": "SHARIDA",
        "authorized_official_title_or_position": "ADMIN 1",
        "authorized_official_telephone_number": "757-618-7322"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2016; 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.