Organization Active NPI

Heavenly Care LLC

Doing business as Heavenly care

  • In Home Supportive Care Agency
  • Cherry Hill, NJ
National Provider Identifier
1881315562
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
HEAVENLY CARE LLC
Doing business as
Heavenly care
Practice address
385 Kings Hwy N Ste 207
Cherry Hill, NJ 08034-1013
Phone
(215) 500-6121
Fax
(445) 300-3100
NPI assigned
Sep 9, 2022
Last updated
Jul 25, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

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

Authorized official

Name
Ms. Cecelia BlackstonNPI 1073781993
Title
Ceo
Phone
(215) 500-6121

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
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

385 Kings Hwy N Ste 207
Cherry Hill, NJ 08034-1013

Mailing address

67 Buck Rd Ste B53
Huntingdon Valley, PA 19006-1540
Phone (215) 500-6121

Other names 1

  • Heavenly care Doing business as

National Provider Directory

National Provider Directory

Locations

385 Kings Hwy N
Ste 207
Cherry Hill, NJ 08034
Phone (215) 500-6121

923 Haddonfield Rd
Cherry Hill, NJ 08002
Phone (561) 917-5219

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": "1662681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690243200000",
    "number": "1881315562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 BUCK RD STE B53",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190061540",
            "telephone_number": "215-500-6121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 KINGS HWY N STE 207",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080341013",
            "telephone_number": "215-500-6121",
            "fax_number": "445-300-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-09",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A",
        "authorized_official_last_name": "BLACKSTON",
        "authorized_official_first_name": "CECELIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "215-500-6121",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heavenly care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Heavenly care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cherry Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.