Organization Active NPI

Heavenly Hands Companion Services LLC

  • Home Health Agency
  • Port Saint Lucie, FL
National Provider Identifier
1518614387
Registry record updated Mar 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HEAVENLY HANDS COMPANION SERVICES LLC
Doing business as
Heavenly Hands Home Care
Practice address
6314 NW Hermes CT
Port Saint Lucie, FL 34986-3881
Phone
(561) 598-1710
NPI assigned
Mar 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2022

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

Authorized official

Name
Sherika AyersNPI 1477147650
Title
Owner
Phone
(561) 598-1710

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

6314 NW Hermes CT
Port Saint Lucie, FL 34986-3881

Mailing address

6314 NW Hermes CT
Port Saint Lucie, FL 34986-3881
Phone (561) 598-1710

Other identifiers 2

IdentifierTypeStateIssuer
111484400MedicaidFL
119070300MedicaidFL

Other names 1

  • Heavenly Hands Home Care Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1646179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646265600000",
    "number": "1518614387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6314 NW HERMES CT",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349863881",
            "telephone_number": "561-598-1710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6314 NW HERMES CT",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349863881",
            "telephone_number": "561-598-1710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY HANDS COMPANION SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-02",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A",
        "authorized_official_last_name": "AYERS",
        "authorized_official_first_name": "SHERIKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-598-1710"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111484400",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119070300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heavenly Hands Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Saint Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2022; 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.