Organization Active NPI

Heavenly Helpers Home Health Services

  • In Home Supportive Care Agency
  • Waldorf, MD
National Provider Identifier
1760081939
Registry record updated Oct 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
HEAVENLY HELPERS HOME HEALTH SERVICES
Practice address
11548 Lady Alison CT
Waldorf, MD 20601-4630
Phone
(202) 276-0238
NPI assigned
Oct 20, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2020

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

Authorized official

Name
Ms. Sharonne Martin, CM/DN
Title
RN
Phone
(202) 276-0238

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Nursing Care Agency 251J00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

11548 Lady Alison CT
Waldorf, MD 20601-4630

Mailing address

11548 Lady Alison CT
Waldorf, MD 20601-4630
Phone (202) 276-0238

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1603152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603152000000",
    "number": "1760081939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11548 LADY ALISON CT",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206014630",
            "telephone_number": "202-276-0238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11548 LADY ALISON CT",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206014630",
            "telephone_number": "202-276-0238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY HELPERS HOME HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-20",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "SHARONNE",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "202-276-0238",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CM/DN"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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 Oct 20, 2020; 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.