Heavenly Hands Home Care Agency LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

HEAVENLY HANDS HOME CARE AGENCY LLC

Doing business as

Heavenly Hands Home Care Agency

Practice address

163 W Walnut Park Dr
Philadelphia, PA 19120-1010

Phone

(267) 721-4210

NPI assigned

Jun 24, 2021

Organization subpart

No

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

Authorized official

Name

Tenise Taylor

Title

Owner/Vice President

Phone

(267) 721-4210

Specialties & licenses 1

Addresses

Other names 1

• Heavenly Hands Home Care Agency Doing business as

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

{
    "created_epoch": "1624492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624492800000",
    "number": "1790354637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 W WALNUT PARK DR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191201010",
            "telephone_number": "267-721-4210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 W WALNUT PARK DR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191201010",
            "telephone_number": "267-721-4210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY HANDS HOME CARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-24",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "TENISE",
        "authorized_official_title_or_position": "OWNER/VICE PRESIDENT",
        "authorized_official_telephone_number": "267-721-4210"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heavenly Hands Home Care Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amber Ann Heaven, LPC
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• Heavenly Hands by Si LLC
• Heavenly Hands Caretakers LLC
• Heavenly Hearts LLC
• Heavenly Home Care
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• Heavens Heart Home Care LLC
• Heavens Sent Home Care LLC

• In Home Supportive Care Agency in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• In Home Supportive Care Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.