Heavenly Angels Home Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

B2010022157 Issued in CA

Legal business name

HEAVENLY ANGELS HOME CARE

Practice address

4709 Mount Abernathy Ave
San Diego, CA 92117-3340

Phone

(858) 444-7904

Fax

(858) 278-2093

NPI assigned

Nov 22, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Jennifer Lynn De Los Reyes

Title

Owner-President

Phone

(858) 444-7094

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1290384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290384000000",
    "number": "1679875710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4709 MOUNT ABERNATHY AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921173340",
            "telephone_number": "858-444-7904",
            "fax_number": "858-278-2093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4709 MOUNT ABERNATHY AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921173340",
            "telephone_number": "858-444-7904",
            "fax_number": "858-278-2093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY ANGELS HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-22",
        "last_updated": "2010-11-22",
        "status": "A",
        "authorized_official_last_name": "DE LOS REYES",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER-PRESIDENT",
        "authorized_official_telephone_number": "858-444-7094",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "CA",
            "license": "B2010022157",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "B2010022157",
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "CA",
            "license": "B2010022157",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "CA",
            "license": "B2010022157",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Low
• J. Ben Heaton, M.D.
• Julia Heaton
• Kobjit Waran Heaton, M.D.
• Robert K Heaton, PHD
• Heavenly Doves Hospice, Inc.
• Heavenly Wellness Inc
• Michael Heazlit
• Stephanie Marie Hebbel, DPT
• Robert Hebbler

• Home Health Agency in San Diego, CA
• Providers in San Diego, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2010; 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.