Logan'S Heavenly Care Services Corp

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

LOGAN'S HEAVENLY CARE SERVICES CORP

Practice address

4218 SE 136TH PL
Summerfield, FL 34491-2224

Phone

(352) 630-5626

Fax

(321) 256-5097

NPI assigned

Oct 31, 2022

Organization subpart

Yes

Parent organization

LOGANS'S HEAVENLY CARE SERVICES CORP.As reported in NPPES

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

Authorized official

Name

Natasha GraceNPI 1386047363

Title

Ceo

Phone

(352) 630-5626

Specialties & licenses 2

Addresses

Other names 1

• Logan's Heavenly Care Sservices Corp. Other name

Electronic endpoints 1

Part of

Logan'S Heavenly Care Services Corp

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Natasha Grace

  • Home Health Agency
  • Eustis, FL
  • NPI 1386047363
  NPD Authorized official

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

{
    "created_epoch": "1667174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667174400000",
    "number": "1730896663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "748 BRYNLE CT",
            "city": "DEBARY",
            "state": "FL",
            "postal_code": "327130116",
            "telephone_number": "352-630-5626",
            "fax_number": "321-256-5097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4218 SE 136TH PL",
            "city": "SUMMERFIELD",
            "state": "FL",
            "postal_code": "344912224",
            "telephone_number": "352-630-5626",
            "fax_number": "321-256-5097"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "748 Brynle Ct",
            "address_purpose": "LOCATION",
            "city": "Debary",
            "state": "FL",
            "postal_code": "327130116",
            "country_code": "US",
            "telephone_number": "352-630-5626",
            "fax_number": "321-256-5097",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LOGAN'S HEAVENLY CARE SERVICES CORP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LOGANS'S HEAVENLY CARE SERVICES CORP.",
        "enumeration_date": "2022-10-31",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A",
        "authorized_official_last_name": "GRACE",
        "authorized_official_first_name": "NATASHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "352-630-5626"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Natasha@GraceandHarmony.net",
            "affiliation": "N",
            "endpointDescription": "Business email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "748 Brynle Ct",
            "city": "Debary",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327130116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Logan's Heavenly Care Sservices Corp.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Home Health Agency in Summerfield, FL
• Providers in Summerfield, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; 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.