Heavenly Hands Companion & Home Care Services LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

HEAVENLY HANDS COMPANION & HOME CARE SERVICES LLC

Practice address

108 East James St
Davenport, FL 33836

Phone

(863) 934-6216

Fax

(863) 421-0400

NPI assigned

Nov 9, 2020

Last updated

Nov 9, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Portia WhiteNPI 1578029039

Title

Administration

Phone

(863) 934-6216

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Portia P White

  • In Home Supportive Care Agency
  • Davenport, FL
  • NPI 1578029039
  NPD Authorized official

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

{
    "created_epoch": "1604880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604880000000",
    "number": "1841891579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1646",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338361646",
            "telephone_number": "863-934-6216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 EAST JAMES ST",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "33836",
            "telephone_number": "863-934-6216",
            "fax_number": "863-421-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY HANDS COMPANION & HOME CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-09",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-06",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "PORTIA",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "863-934-6216"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101318600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Health Holdings Company LLC (Palm Medical Centers Davenport)
• Heart & Vascular Institute of Florida PLC
• Heart of Florida Diabetes and Endocrine LLC
• Heart of Florida OB/GYN Associates PA
• Heart of Florida Surgery Center LLC
• Heavenly Hands Healthcare LLC
• Laura K Heffernan, MA, LCPC, LMHC
• Helping & Serving Transportation LLC (Helping & Serving Transportation)
• Helping Hands and Associates
• Ina D Henry

• In Home Supportive Care Agency in Davenport, FL
• Providers in Davenport, FL by specialty
• In Home Supportive Care Agency in Florida

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