Organization Active NPI

Heavenly Care Solutions LLC

  • In Home Supportive Care Agency
  • Waldorf, MD
National Provider Identifier
1720871973
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
HEAVENLY CARE SOLUTIONS LLC
Practice address
9854 Selkie LN
Waldorf, MD 20601-3785
Phone
(240) 716-2886
Fax
(240) 716-2886
NPI assigned
May 28, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2025

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

Authorized official

Name
Samuel Raji
Title
President & Administrator
Phone
(240) 716-2886

Specialties & licenses 1

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

Addresses

Primary practice location

9854 Selkie LN
Waldorf, MD 20601-3785

Mailing address

9854 Selkie LN
Waldorf, MD 20601-3785
Phone (240) 716-2886

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1748390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750377600000",
    "number": "1720871973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9854 SELKIE LN",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206013785",
            "telephone_number": "240-716-2886",
            "fax_number": "240-716-2886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9854 SELKIE LN",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206013785",
            "telephone_number": "240-716-2886",
            "fax_number": "240-716-2886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY CARE SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-28",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A",
        "authorized_official_last_name": "RAJI",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "PRESIDENT & ADMINISTRATOR",
        "authorized_official_telephone_number": "240-716-2886"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2025; 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.