Organization Active NPI

Heaven Cares LLC

  • In Home Supportive Care Agency
  • Saint Charles, MO
National Provider Identifier
1700316965
Registry record updated Jun 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
HEAVEN CARES LLC
Practice address
3920 S Old Highway 94 Ste 34
Saint Charles, MO 63304-2835
Phone
(636) 362-2200
Fax
(636) 362-2354
NPI assigned
Jun 19, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2017

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

Authorized official

Name
Mrs. Mornay Brooks Kennedy
Title
Owner
Phone
(636) 362-2200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

3920 S Old Highway 94 Ste 34
Saint Charles, MO 63304-2835

Mailing address

3920 S Old Highway 94 Ste 34
Saint Charles, MO 63304-2835
Phone (314) 458-6779

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1497830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497830400000",
    "number": "1700316965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 S OLD HIGHWAY 94 STE 34",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633042835",
            "telephone_number": "314-458-6779",
            "fax_number": "636-362-2354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 S OLD HIGHWAY 94 STE 34",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633042835",
            "telephone_number": "636-362-2200",
            "fax_number": "636-362-2354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVEN CARES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-19",
        "last_updated": "2017-06-19",
        "status": "A",
        "authorized_official_last_name": "BROOKS KENNEDY",
        "authorized_official_first_name": "MORNAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-362-2200",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Charles, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2017; 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.