Heavenly Helpers Nursing Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

41028 Issued in SC

Legal business name

HEAVENLY HELPERS NURSING SERVICES LLC

Practice address

4502 Highway 17 Byp S
Myrtle Beach, SC 29588-5614

Phone

(843) 655-0456

NPI assigned

Dec 18, 2015

Organization subpart

No

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

Authorized official

Name

Yana MintzNPI 1073984779

Title

Owner

Phone

(843) 655-0456

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Yana Mintz

  • Home Health Aide
  • Myrtle Beach, SC
  • NPI 1073984779
  NPD (past) Authorized official

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

{
    "created_epoch": "1450396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450396800000",
    "number": "1669837571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4502 HIGHWAY 17 BYP S",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295885614",
            "telephone_number": "843-655-0456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4502 HIGHWAY 17 BYP S",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295885614",
            "telephone_number": "843-655-0456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY HELPERS NURSING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-18",
        "last_updated": "2015-12-18",
        "status": "A",
        "authorized_official_last_name": "MINTZ",
        "authorized_official_first_name": "YANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-655-0456"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "SC",
            "license": "41028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Home Health Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2015; 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.