Heavenly Angels Care Home LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

HEAVENLY ANGELS CARE HOME LLC

Practice address

1414 E Paseo Way # a
Phoenix, AZ 85042-8405

Phone

(480) 206-9219

NPI assigned

Dec 29, 2023

Organization subpart

No

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

Authorized official

Name

Ms. Shahidah F Moore

Title

Owner

Phone

(480) 206-9219

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1703808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703808000000",
    "number": "1609645787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 E PASEO WAY # B",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850428405",
            "telephone_number": "480-206-9219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 E PASEO WAY # A",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850428405",
            "telephone_number": "480-206-9219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY ANGELS CARE HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-29",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "SHAHIDAH",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-206-9219",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Michael Heath, RD
• Shay E Heath
• Astrid Margot Heathcote, PSY.D
• David A. Heaton, M.D.
• Heaven N Soul Hospice Inc
• Heavenly Behavioral Homes LLC
• Heavenly Care LLC
• Heavenly Care LLC
• Heavenly Hospice LLC
• Michelle Elizabeth Hebard

• Nursing Care Agency in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Nursing Care Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; 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.