Organization Active NPI

Heavenly Angels Healthcare Inc

  • Home Health Agency
  • Raleigh, NC
National Provider Identifier
1891941563
Registry record updated Aug 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HEAVENLY ANGELS HEALTHCARE INC
Practice address
608 W Johnson St Ste 10
Raleigh, NC 27603-1242
Phone
(919) 995-8759
NPI assigned
Aug 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2008

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

Authorized official

Name
Ebonie Brown
Title
Agency Director
Phone
(919) 995-8759

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

608 W Johnson St Ste 10
Raleigh, NC 27603-1242

Mailing address

PO Box 58672
Raleigh, NC 27658-8672

National Provider Directory

National Provider Directory

Locations

608 W Johnson St
Ste 10
Raleigh, NC 27603
Phone (919) 995-8759

NPI Registry JSON

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

{
    "created_epoch": "1218672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218672000000",
    "number": "1891941563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 58672",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276588672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 W JOHNSON ST STE 10",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276031242",
            "telephone_number": "919-995-8759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY ANGELS HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-14",
        "last_updated": "2008-08-14",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "EBONIE",
        "authorized_official_title_or_position": "AGENCY DIRECTOR",
        "authorized_official_telephone_number": "919-995-8759"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2008; 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.