Organization Active NPI

Heavenly Joy Home Care LLC

  • In Home Supportive Care Agency
  • Fargo, ND
National Provider Identifier
1780357855
Registry record updated Jul 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
HEAVENLY JOY HOME CARE LLC
Practice address
635 El Tora CV S
Fargo, ND 58103-1081
Phone
(701) 730-7107
NPI assigned
Jul 26, 2021
Last updated
Jul 26, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2021

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

Authorized official

Name
Stella Jurua
Title
Owner
Phone
(701) 730-7107

Specialties & licenses 1

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

Addresses

Primary practice location

635 El Tora CV S
Fargo, ND 58103-1081

Mailing address

635 El Tora CV S
Fargo, ND 58103-1081
Phone (701) 730-7107

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1627257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627257600000",
    "number": "1780357855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 EL TORA CV S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581031081",
            "telephone_number": "701-730-7107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 EL TORA CV S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581031081",
            "telephone_number": "701-730-7107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY JOY HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-26",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A",
        "authorized_official_last_name": "JURUA",
        "authorized_official_first_name": "STELLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-730-7107"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; 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.