NPIMap

Organization Active NPI

Heavens Doorway Homecare LLC

  • Homemaker
  • Lakeland, FL
National Provider Identifier
1538744172
Registry record updated Mar 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomemakerTaxonomy code 376J00000X
Legal business name
HEAVENS DOORWAY HOMECARE LLC
Practice address
5440 Old Highway 37
Lakeland, FL 33811-2331
Phone
(863) 877-6287
NPI assigned
Mar 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2021

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

Authorized official

Name
Ms. Detra MorrisonNPI 1396225249
Title
Owner
Phone
(863) 877-6287

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
HomemakerGroup: 193200000X MULTI-SPECIALTY GROUP 376J00000X Primary

Addresses

Primary practice location

5440 Old Highway 37
Lakeland, FL 33811-2331

Mailing address

5440 Old Highway 37
Lakeland, FL 33811-2331
Phone (863) 877-6287

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": "1615766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615766400000",
    "number": "1538744172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5440 OLD HIGHWAY 37",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338112331",
            "telephone_number": "863-877-6287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5440 OLD HIGHWAY 37",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338112331",
            "telephone_number": "863-877-6287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENS DOORWAY HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-15",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A",
        "authorized_official_last_name": "MORRISON",
        "authorized_official_first_name": "DETRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-877-6287",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; 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.