Organization Active NPI

Heaven's Land Health Services Inc.

  • Home Health Agency
  • Alexandria, VA
National Provider Identifier
1841976164
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HEAVEN'S LAND HEALTH SERVICES INC.
Practice address
5510 Cherokee Ave
Alexandria, VA 22312-2320
Phone
(703) 843-3662
NPI assigned
Jun 22, 2023
Last updated
Jun 22, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Authorized official

Name
Elvis Ndenge KometaNPI 1720777642
Title
Ceo
Phone
(301) 979-0135

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

5510 Cherokee Ave
Alexandria, VA 22312-2320

Mailing address

14912 Doveheart LN
Bowie, MD 20721-3079
Phone (301) 979-0135

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1687392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687392000000",
    "number": "1841976164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14912 DOVEHEART LN",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207213079",
            "telephone_number": "301-979-0135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5510 CHEROKEE AVE",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223122320",
            "telephone_number": "703-843-3662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVEN'S LAND HEALTH SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-22",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A",
        "authorized_official_last_name": "KOMETA",
        "authorized_official_first_name": "ELVIS",
        "authorized_official_middle_name": "NDENGE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-979-0135"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; 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.