Organization Active NPI

Heavenly Touch Home Health Care of Broward Corp

  • Home Health Agency
  • Miramar, FL
National Provider Identifier
1457859985
Registry record updated Jan 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
HEAVENLY TOUCH HOME HEALTH CARE, CORP.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 30, 2018

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)CodeLicenseStatePrimary
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2164309Heavenly Touch Home Health Care3350 SW 148 Ave Ste 110 Office 103, Miramar, FL 33027Certificate of waiverApr 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.

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

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.

Verify at the official NPI Registry.