Seven Heaven Home Care LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SEVEN HEAVEN HOME CARE LLC

Practice address

554 NW Kilpatrick Ave
Port St Lucie, FL 34983-8719

Phone

(772) 301-5499

NPI assigned

Jun 12, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Michael NoelusNPI 1457814832

Title

Owner / Administrator

Phone

(772) 301-5499

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Noelus

  • Assisted Living Facility
  • Port Saint Lucie, FL
  • NPI 1457814832
  NPD Authorized official

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

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560297600000",
    "number": "1497314546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "554 NW KILPATRICK AVE",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349838719",
            "telephone_number": "772-301-5499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "554 NW KILPATRICK AVE",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349838719",
            "telephone_number": "772-301-5499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEVEN HEAVEN HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-12",
        "last_updated": "2019-06-12",
        "status": "A",
        "authorized_official_last_name": "NOELUS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER / ADMINISTRATOR",
        "authorized_official_telephone_number": "772-301-5499",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Serenity Shore Assisted Living Facility LLC
• Yelena Sergiyenko, AP
• Keith Richard Serrago, RPH,PHARMD,CPH
• Aien Vanesa Serrano
• Lysseeveth Serrano
• Debbie Michelle Sevilla, MD
• Bobby Ajay Shah, M.D.
• Uday Shah, RPH
• Urmil Shah, RPH
• Eusra Rahat Shams, PHARMD

• Assisted Living Facility in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2019; 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.