NPIMap

Organization Active NPI

Heaven Care Nursing Agency

  • Home Health Agency
  • Miami Gardens, FL
National Provider Identifier
1700209624
Registry record updated Jan 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HEAVEN CARE NURSING AGENCY
Practice address
20295 NW 2ND Ave
Suite 301
Miami Gardens, FL 33169-2550
Phone
(754) 400-0887
NPI assigned
Jan 29, 2014
Last updated
Jan 29, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
HEAVEN CARE NURSING AGENCYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 29, 2014

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

Authorized official

Name
Dominique Charles-BouteNPI 1205259645
Title
Administrator
Phone
(754) 400-0887

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

20295 NW 2ND Ave
Suite 301
Miami Gardens, FL 33169-2550

Mailing address

20295 NW 2ND Ave
Suite 301
Miami Gardens, FL 33169-2550
Phone (754) 400-0887

National Provider Directory

National Provider Directory
Tax ID family
Heaven Care Nursing Agency2 organizations share this tax ID, including this one
Part of
Heaven Care Nursing Agency

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1390953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390953600000",
    "number": "1700209624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20295 NW 2ND AVE",
            "address_2": "SUITE 301",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331692550",
            "telephone_number": "754-400-0887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20295 NW 2ND AVE",
            "address_2": "SUITE 301",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331692550",
            "telephone_number": "754-400-0887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVEN CARE NURSING AGENCY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEAVEN CARE NURSING AGENCY",
        "enumeration_date": "2014-01-29",
        "last_updated": "2014-01-29",
        "status": "A",
        "authorized_official_last_name": "CHARLES-BOUTE",
        "authorized_official_first_name": "DOMINIQUE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "754-400-0887"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2014; 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.