NPIMap

Organization Active NPI

Heavenly Home Health Care

  • Home Health Agency
  • Suffolk, VA
National Provider Identifier
1801151576
Registry record updated Jul 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
015349 Issued in VA
Legal business name
HEAVENLY HOME HEALTH CARE
Practice address
707 Gittings St
Suite 130
Suffolk, VA 23434-6101
Phone
(757) 944-0096
NPI assigned
Jul 9, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2012

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

Authorized official

Name
Mr. Frederick Leon Jenkins
Title
Owner
Phone
(757) 944-0096

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 015349 VA Primary

Addresses

Primary practice location

707 Gittings St
Suite 130
Suffolk, VA 23434-6101

Mailing address

707 Gittings St
Suite 130
Suffolk, VA 23434-6101
Phone (757) 944-0096

National Provider Directory

National Provider Directory

Locations

707 Gittings St
Ste 130
Suffolk, VA 23434
Phone (757) 944-0096

NPI Registry JSON

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

{
    "created_epoch": "1341792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341792000000",
    "number": "1801151576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 GITTINGS ST",
            "address_2": "SUITE 130",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234346101",
            "telephone_number": "757-944-0096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 GITTINGS ST",
            "address_2": "SUITE 130",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234346101",
            "telephone_number": "757-944-0096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY HOME HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-09",
        "last_updated": "2012-07-09",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "LEON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-944-0096",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": "015349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2012; 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.