Heaven Health Nemt

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

HEAVEN HEALTH NEMT

Practice address

779 Myrtle LN
Princeton, TX 75407-2894

Phone

(214) 606-2319

NPI assigned

Sep 26, 2024

Organization subpart

No

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

Authorized official

Name

Selome Tadesse

Title

Owner

Phone

(214) 606-2319

Specialties & licenses 1

Addresses

Other names 1

• MM/DD/YYYY Other name

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

{
    "created_epoch": "1727308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727308800000",
    "number": "1497573794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "779 MYRTLE LN",
            "city": "PRINCETON",
            "state": "TX",
            "postal_code": "754072894",
            "telephone_number": "214-606-2319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "779 MYRTLE LN",
            "city": "PRINCETON",
            "state": "TX",
            "postal_code": "754072894",
            "telephone_number": "214-606-2319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVEN HEALTH NEMT",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-26",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A",
        "authorized_official_last_name": "TADESSE",
        "authorized_official_first_name": "SELOME",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-606-2319"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MM/DD/YYYY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• All providers in Princeton, TX
• Non-emergency Medical Transport (VAN) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; 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.