Active NPI
Heavens Heart Home Care LLC
- Home Health Agency
- Philadelphia, PA
National Provider Identifier
1710639018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- HEAVENS HEART HOME CARE LLC
- Practice address
- 100 S Juniper St FL 3
Philadelphia, PA 19107-1316 - Phone
- (267) 815-4132
- NPI assigned
- Jan 19, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nakesha Ross
- Title
- Director
- Phone
- (267) 815-4132
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
100 S Juniper St FL 3
Philadelphia, PA 19107-1316
Mailing address
113 Plymouth PL
Middletown, DE 19709-8314
Phone (267) 815-4132
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104044820-0001 | Other | PA | MEDICARE |
| 104044820-0001 | Medicaid | PA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Home Health Aide
- Middletown, DE
- NPI 1528668159
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642550400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1676419200000",
"number": "1710639018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 PLYMOUTH PL",
"city": "MIDDLETOWN",
"state": "DE",
"postal_code": "197098314",
"telephone_number": "267-815-4132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 S JUNIPER ST FL 3",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191071316",
"telephone_number": "267-815-4132"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEAVENS HEART HOME CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-01-19",
"last_updated": "2023-02-15",
"certification_date": "2023-02-15",
"status": "A",
"authorized_official_last_name": "ROSS",
"authorized_official_first_name": "NAKESHA",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "267-815-4132"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "104044820-0001",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104044820-0001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.