Organization Active NPI

Heavenly Helpers Services

  • Home Health Agency
  • Kissimmee, FL
National Provider Identifier
1578012720
Registry record updated Sep 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HEAVENLY HELPERS SERVICES
Practice address
707 Cockatoo CT
Kissimmee, FL 34759-4510
Phone
(813) 863-6776
NPI assigned
Sep 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2016

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

Authorized official

Name
Mysie Davis
Title
Owner
Phone
(407) 881-8726

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

707 Cockatoo CT
Kissimmee, FL 34759-4510

Mailing address

707 Cockatoo CT
Kissimmee, FL 34759-4510
Phone (813) 863-6776

Other identifiers 1

IdentifierTypeStateIssuer
639389MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1475107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475107200000",
    "number": "1578012720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 COCKATOO CT",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347594510",
            "telephone_number": "813-863-6776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 COCKATOO CT",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347594510",
            "telephone_number": "813-863-6776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY HELPERS SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-29",
        "last_updated": "2016-09-29",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "MYSIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-881-8726"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "639389",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2016; 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.