Organization Active NPI

Heavenly Angels Home Care Agency LLC

  • Home Health Agency
  • Meridian, MS
National Provider Identifier
1720769292
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HEAVENLY ANGELS HOME CARE AGENCY LLC
Practice address
2100 8TH St
Meridian, MS 39301-5136
Phone
(601) 207-5062
Fax
(601) 207-7685
NPI assigned
Jul 27, 2023
Last updated
Aug 23, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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

Authorized official

Name
Mrs. Kimberly Burton
Title
Owner
Phone
(601) 480-5947

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2100 8TH St
Meridian, MS 39301-5136

Mailing address

2100 8TH St
Meridian, MS 39301-5136
Phone (601) 207-5062

National Provider Directory

National Provider Directory

Locations

2100 8th St
Meridian, MS 39301
Phone (601) 207-5062

NPI Registry JSON

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

{
    "created_epoch": "1690416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692748800000",
    "number": "1720769292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 8TH ST",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393015136",
            "telephone_number": "601-207-5062",
            "fax_number": "601-207-7685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 8TH ST",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393015136",
            "telephone_number": "601-207-5062",
            "fax_number": "601-207-7685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY ANGELS HOME CARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-27",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A",
        "authorized_official_last_name": "BURTON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-480-5947",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.

Verify at the official NPI Registry.