Organization Active NPI

Heavenly Golden Years Services, Inc

  • Home Health Agency
  • Orlando, FL
National Provider Identifier
1669700134
Registry record updated Nov 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HEAVENLY GOLDEN YEARS SERVICES, INC
Practice address
5460 Hoffner Ave
Suite 406
Orlando, FL 32812-2511
Phone
(407) 536-0590
Fax
(407) 249-9207
NPI assigned
Nov 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2009

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

Authorized official

Name
Carla V
Title
President
Phone
(407) 536-0590

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

5460 Hoffner Ave
Suite 406
Orlando, FL 32812-2511

Mailing address

5460 Hoffner Ave
Suite 406
Orlando, FL 32812-2511
Phone (407) 536-0590

National Provider Directory

National Provider Directory

Locations

5460 Hoffner Ave
Ste 406
Orlando, FL 32812
Phone (407) 433-2142

NPI Registry JSON

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

{
    "created_epoch": "1258848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258848000000",
    "number": "1669700134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5460 HOFFNER AVE",
            "address_2": "SUITE 406",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328122511",
            "telephone_number": "407-536-0590",
            "fax_number": "407-249-9207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5460 HOFFNER AVE",
            "address_2": "SUITE 406",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328122511",
            "telephone_number": "407-536-0590",
            "fax_number": "407-249-9207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY GOLDEN YEARS SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-22",
        "last_updated": "2009-11-22",
        "status": "A",
        "authorized_official_last_name": "V",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-536-0590"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2009; 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.