Life's Heavenly Haven LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

LIFE'S HEAVENLY HAVEN LLC

Practice address

1542 Hamilton St
Toledo, OH 43607-4333

Phone

(567) 698-0800

NPI assigned

Sep 11, 2019

Last updated

Nov 18, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kelley Janee Brown

Title

Ceo

Phone

(567) 698-0800

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1568160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605657600000",
    "number": "1538718663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1542 HAMILTON ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436074333",
            "telephone_number": "567-698-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1542 HAMILTON ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436074333",
            "telephone_number": "567-698-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE'S HEAVENLY HAVEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-11",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "KELLEY",
        "authorized_official_middle_name": "JANEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "567-698-0800"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "gmail",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1542 Hamilton St",
            "city": "Toledo",
            "state": "OH",
            "country_code": "US",
            "postal_code": "436074333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• In Home Supportive Care Agency in Toledo, OH
• Providers in Toledo, OH by specialty
• In Home Supportive Care Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; 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.