Heavenly L.L.C

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

HEAVENLY L.L.C

Practice address

3420 Toledo Ter Apt 214
Hyattsville, MD 20782-4173

Phone

(202) 340-4711

NPI assigned

Mar 31, 2025

Organization subpart

No

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

Authorized official

Name

Surafel Hailu

Title

Owner

Phone

(202) 340-4711

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1743379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743984000000",
    "number": "1629871074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3420 TOLEDO TER APT 214",
            "city": "CHILLUM",
            "state": "MD",
            "postal_code": "207824173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3420 TOLEDO TER APT 214",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207824173",
            "telephone_number": "202-340-4711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-31",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A",
        "authorized_official_last_name": "HAILU",
        "authorized_official_first_name": "SURAFEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-340-4711"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; 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.