Organization Active NPI

Heavensent Home Healthcare Inc.

  • Home Health Agency
  • Coral Springs, FL
National Provider Identifier
1912456047
Registry record updated Sep 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
30211338 Issued in FL
Legal business name
HEAVENSENT HOME HEALTHCARE INC.
Practice address
7551 Wiles Rd
#203
Coral Springs, FL 33067-2064
Phone
(954) 317-3608
Fax
(800) 483-7216
NPI assigned
Sep 30, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2016

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

Authorized official

Name
Mr. Reginald Smith Jr.
Title
Administrator
Phone
(561) 496-7772

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 30211338 FL Primary

Addresses

Primary practice location

7551 Wiles Rd
#203
Coral Springs, FL 33067-2064

Mailing address

7431 W Atlantic Ave
#32
Delray Beach, FL 33446-3512
Phone (561) 496-7772

Other identifiers 1

IdentifierTypeStateIssuer
30211338OtherFLAGENCY FOR HEALTH CARE ADMINISTRATION

National Provider Directory

National Provider Directory

Locations

7551 Wiles Rd
Ste 203
Coral Springs, FL 33067
Phone (954) 317-3608

7431 Atlantic Ave
Ste 32
Delray Beach, FL 33446

NPI Registry JSON

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

{
    "created_epoch": "1475193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475193600000",
    "number": "1912456047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7431 W ATLANTIC AVE",
            "address_2": "#32",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334463512",
            "telephone_number": "561-496-7772",
            "fax_number": "800-483-7216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7551 WILES RD",
            "address_2": "#203",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330672064",
            "telephone_number": "954-317-3608",
            "fax_number": "800-483-7216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENSENT HOME HEALTHCARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-30",
        "last_updated": "2016-09-30",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "REGINALD",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "561-496-7772",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "30211338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AGENCY FOR HEALTH CARE ADMINISTRATION",
            "identifier": "30211338",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2016; 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.