Active NPI
Heavenly Touch Home Health Care of Broward Corp
- Home Health Agency
- Miramar, FL
National Provider Identifier
1457859985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- HEAVENLY TOUCH HOME HEALTH CARE OF BROWARD CORP
- Practice address
- 3350 SW 148 Ave
Ste-110 / Office-103
Miramar, FL 33027-3257 - Phone
- (305) 406-3648
- Fax
- (305) 406-3649
- NPI assigned
- Jan 30, 2018
- Last updated
- Jan 30, 2018
- Organization subpart
- Yes
- Parent organization
- HEAVENLY TOUCH HOME HEALTH CARE, CORP.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ibis C Tejeda
- Title
- Administrator
- Phone
- (305) 406-3648
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NU | Primary |
Addresses
Primary practice location
3350 SW 148 Ave
Ste-110 / Office-103
Miramar, FL 33027-3257
Mailing address
3350 SW 148 Ave
Ste-110 / Office-103
Miramar, FL 33027-3257
Phone (305) 406-3648
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2164309 | Heavenly Touch Home Health Care | Certificate of waiver | Apr 1, 2027 |
National Provider Directory
National Provider Directory- Part of
- Heavenly Touch Home Health Care Corp
Locations
3350 SW 148th Ave
Ste 100103
Miramar, FL 33027
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Home Health Agency
- Doral, FL
- NPI 1437390739
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517270400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1517270400000",
"number": "1457859985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3350 SW 148 AVE",
"address_2": "STE-110 / OFFICE-103",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330273257",
"telephone_number": "305-406-3648",
"fax_number": "305-406-3649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3350 SW 148 AVE",
"address_2": "STE-110 / OFFICE-103",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330273257",
"telephone_number": "305-406-3648",
"fax_number": "305-406-3649"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEAVENLY TOUCH HOME HEALTH CARE OF BROWARD CORP",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "HEAVENLY TOUCH HOME HEALTH CARE, CORP.",
"enumeration_date": "2018-01-30",
"last_updated": "2018-01-30",
"status": "A",
"authorized_official_last_name": "TEJEDA",
"authorized_official_first_name": "IBIS",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "305-406-3648"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miramar, FL
- Healthstone Medical Group, LLC
- Healthy Minds Healthy Hearts Therapeutic Services, LLC
- Healthy Practice Inc
- Heavenly Foods
- Heavenly Health Care Center, LLC
- Bhavani Hebbar, MD
- Dayli Hechavarria Amaro
- Mohamed A Hegazy, MD, SA
- Helping Hands for Homemaking and Companionship LLC
- Helping Hands for Homemaking and Companionship LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.