Heavenly'S Home Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

HEAVENLY'S HOME CARE LLC

Doing business as

Heavenly's Home Care llc

Practice address

67 Buck Rd Ste B53
Huntingdon Valley, PA 19006

Phone

(267) 432-1502

NPI assigned

Jun 7, 2018

Organization subpart

No

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

Authorized official

Name

Cecelia Irene Blackston

Title

Owner

Phone

(215) 490-6810

Specialties & licenses 2

Addresses

Other names 1

• Heavenly's Home Care llc Doing business as

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

{
    "created_epoch": "1528329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528329600000",
    "number": "1497248298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 BUCK RD STE B53",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190061540",
            "telephone_number": "674-321-5022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 BUCK RD STE B53",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "19006",
            "telephone_number": "267-432-1502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY'S HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-07",
        "last_updated": "2018-06-07",
        "status": "A",
        "authorized_official_last_name": "BLACKSTON",
        "authorized_official_first_name": "CECELIA",
        "authorized_official_middle_name": "IRENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-490-6810"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heavenly's Home Care llc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Huntingdon Valley, PA
• Providers in Huntingdon Valley, PA by specialty
• Home Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2018; 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.