Organization Active NPI

Heavenly Home Health Aid Inc.

  • In Home Supportive Care Agency
  • Cocoa, FL
National Provider Identifier
1528584604
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
NR30211845 Issued in FL
Legal business name
HEAVENLY HOME HEALTH AID INC.
Practice address
3760 Curtis Blvd Ste 604
Cocoa, FL 32927-3964
Phone
(321) 433-1660
Fax
(321) 252-0404
NPI assigned
Aug 21, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Megan McLaughlin Wright
Title
Administrator
Phone
(321) 433-1660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NR30211845 FL Primary

Addresses

Primary practice location

3760 Curtis Blvd Ste 604
Cocoa, FL 32927-3964

Mailing address

3760 Curtis Blvd Ste 604
Cocoa, FL 32927-3964
Phone (321) 433-1660

National Provider Directory

National Provider Directory

Locations

3760 Curtis Blvd
Ste 604
Cocoa, FL 32927
Phone (321) 433-1660

NPI Registry JSON

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

{
    "created_epoch": "1503273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1528584604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3760 CURTIS BLVD STE 604",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329273964",
            "telephone_number": "321-433-1660",
            "fax_number": "321-252-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3760 CURTIS BLVD STE 604",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329273964",
            "telephone_number": "321-433-1660",
            "fax_number": "321-252-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY HOME HEALTH AID INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-21",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MCLAUGHLIN WRIGHT",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "321-433-1660"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "NR30211845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cocoa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.