Heavenly Home Health Agency, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

299992344 Issued in FL

Legal business name

HEAVENLY HOME HEALTH AGENCY, INC.

Practice address

12901 W Okeechobee Rd Ste 10
Hialeah Gardens, FL 33018-6035

Phone

(305) 827-4330

Fax

(786) 398-5781

NPI assigned

Jun 16, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Eddy Martinez

Title

President

Phone

(305) 827-4330

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375228800000",
    "number": "1548204837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12901 W OKEECHOBEE RD STE 10",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330186035",
            "telephone_number": "305-827-4330",
            "fax_number": "786-398-5781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12901 W OKEECHOBEE RD STE 10",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330186035",
            "telephone_number": "305-827-4330",
            "fax_number": "786-398-5781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY HOME HEALTH AGENCY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-16",
        "last_updated": "2013-07-31",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "EDDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-827-4330",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299992344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Hialeah Gardens, FL
• Providers in Hialeah Gardens, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2013; 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.