Heavenly Healing Homecare LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

HEAVENLY HEALING HOMECARE LLC

Practice address

7850 Bullfinch LN
Indianapolis, IN 46239-7955

Phone

(267) 499-0182

NPI assigned

Jun 11, 2024

Organization subpart

No

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

Authorized official

Name

Juillet McKay KofaNPI 1225967839

Title

Registered Nurse/Owner

Phone

(267) 499-0182

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Juillet Kofa, FNP

  • Family Nurse Practitioner
  • Indianapolis, IN
  • NPI 1225967839
  NPD Authorized official

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

{
    "created_epoch": "1718064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718064000000",
    "number": "1639911431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7850 BULLFINCH LN",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462397955",
            "telephone_number": "267-499-0182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7850 BULLFINCH LN",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462397955",
            "telephone_number": "267-499-0182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY HEALING HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-11",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A",
        "authorized_official_last_name": "KOFA",
        "authorized_official_first_name": "JUILLET",
        "authorized_official_middle_name": "MCKAY",
        "authorized_official_title_or_position": "REGISTERED NURSE/OWNER",
        "authorized_official_telephone_number": "267-499-0182"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• In Home Supportive Care Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; 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.