Heavenly Foods

Primary specialty

Home Delivered MealsTaxonomy code 332U00000X

License

SEA1617838 Issued in FL

Legal business name

HEAVENLY FOODS

Practice address

4040 SW 69TH Ave
Miramar, FL 33023-6688

Phone

(786) 426-2611

Fax

(954) 404-7601

NPI assigned

Jan 15, 2016

Organization subpart

No

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

Authorized official

Name

Pashun Dobson

Title

Owner

Phone

(786) 426-2611

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1452816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452816000000",
    "number": "1750748166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4040 SW 69TH AVE",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330236688",
            "telephone_number": "786-426-2611",
            "fax_number": "954-404-7601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 SW 69TH AVE",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330236688",
            "telephone_number": "786-426-2611",
            "fax_number": "954-404-7601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY FOODS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-15",
        "last_updated": "2016-01-15",
        "status": "A",
        "authorized_official_last_name": "DOBSON",
        "authorized_official_first_name": "PASHUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-426-2611"
    },
    "taxonomies": [
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": "FL",
            "license": "SEA1617838",
            "primary": true
        },
        {
            "code": "335G00000X",
            "taxonomy_group": "",
            "desc": "Medical Foods Supplier",
            "state": "FL",
            "license": "SEA1617838",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Healthy Practice Inc
• Heavenly Health Care Center, LLC
• Heavenly Touch Home Health Care of Broward Corp
• Bhavani Hebbar, MD
• Dayli Hechavarria Amaro
• Mohamed A Hegazy, MD, SA

• Home Delivered Meals in Miramar, FL
• Providers in Miramar, FL by specialty
• Home Delivered Meals in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2016; 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.