Heavenly Homecare Agency LLC

Primary specialty

Home Health AideTaxonomy code 374U00000X

Legal business name

HEAVENLY HOMECARE AGENCY LLC

Practice address

5700 Lake Worth Rd Ste 201-Q
Greenacres, FL 33463-3204

Phone

(561) 969-8969

NPI assigned

Mar 9, 2021

Organization subpart

No

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

Authorized official

Name

Roselande Oczeus

Title

Owner

Phone

(561) 969-8969

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1615248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632355200000",
    "number": "1861077026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 LAKE WORTH RD STE 201-Q",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334633204",
            "telephone_number": "561-969-8969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 LAKE WORTH RD STE 201-Q",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334633204",
            "telephone_number": "561-969-8969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY HOMECARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-09",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A",
        "authorized_official_last_name": "OCZEUS",
        "authorized_official_first_name": "ROSELANDE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-969-8969"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Aide in Greenacres, FL
• Providers in Greenacres, FL by specialty
• Home Health Aide in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.