NPIMap

Organization Active NPI

Heavenly Hands Home Care LLC

  • Social Worker
  • Indianapolis, IN
National Provider Identifier
1730693409
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
HEAVENLY HANDS HOME CARE LLC
Practice address
1243 S Centennial St
Indianapolis, IN 46241-4115
Phone
(317) 515-9975
NPI assigned
Nov 16, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Melvisha Perry
Title
Director
Phone
(317) 995-5969

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X IN Primary
Military Health Care ProviderGroup: 193200000X MULTI-SPECIALTY GROUP 171000000X IN
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X IN
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X IN
In Home Supportive Care Agency 253Z00000X IN
Personal Care AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 3747P1801X IN
Home Health AideGroup: 193200000X MULTI-SPECIALTY GROUP 374U00000X IN
HomemakerGroup: 193200000X MULTI-SPECIALTY GROUP 376J00000X IN
HomemakerGroup: 193200000X MULTI-SPECIALTY GROUP 376J00000X

Addresses

Primary practice location

1243 S Centennial St
Indianapolis, IN 46241-4115

Mailing address

1243 S Centennial St
Indianapolis, IN 46241-4115

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1510790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1730693409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1243 S CENTENNIAL ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462414115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1243 S CENTENNIAL ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462414115",
            "telephone_number": "317-515-9975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY HANDS HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-16",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "MELVISHA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "317-995-5969"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "IN",
            "license": null,
            "primary": true
        },
        {
            "code": "171000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Military Health Care Provider",
            "state": "IN",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": "IN",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "IN",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "IN",
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": "IN",
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": "IN",
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": "IN",
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.