Heavenly Choice Adult Home

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

6906270 Issued in FL

Legal business name

HEAVENLY CHOICE ADULT HOME

Practice address

5500 Watkins Rd
Haines City, FL 33844-6254

Phone

(863) 269-9753

NPI assigned

Sep 26, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Julia MorameNPI 1437402021

Title

Ceo

Phone

(863) 269-9753

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Heavenly Choice Adult Group Home2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Heavenly Choice Adult Group Home

  • Lodging Provider
  • Haines City, FL
  • NPI 1487973624
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Julia St Juste Morame

  • Adult Care Home Facility
  • Haines, FL
  • NPI 1437402021
  NPD Authorized official

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

{
    "created_epoch": "1348617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348617600000",
    "number": "1831440155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 WATKINS RD",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338446254",
            "telephone_number": "863-269-9753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 WATKINS RD",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338446254",
            "telephone_number": "863-269-9753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY CHOICE ADULT HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-26",
        "last_updated": "2012-09-26",
        "status": "A",
        "authorized_official_last_name": "MORAME",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "863-269-9753",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "FL",
            "license": "6906270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000422700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heart of Florida Care Inc.
• Heart of Florida Chiropractic, Inc.
• Heart of Gold Senior Services, LLC
• Heartland Healthcare Inc.
• Heavenly Choice Adult Group Home
• Phil Bert Heller, D.C.
• Helping Hand Medical Group, LLC
• Helping Hands of Hanes City Inc
• Milagro Esmeralda Heredia, MD
• Lourdes Hernandez

• Exclusive Provider Organization in Haines City, FL
• Providers in Haines City, FL by specialty
• Exclusive Provider Organization in Florida

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