Organization Active NPI

Shardae'S Heavenly Touch, LLC

  • Home Health Agency
  • Pensacola, FL
National Provider Identifier
1912696352
Registry record updated May 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SHARDAE'S HEAVENLY TOUCH, LLC
Practice address
4884 La Ventana Ter
Pensacola, FL 32526-3443
Phone
(251) 359-1845
NPI assigned
May 2, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2023

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

Authorized official

Name
Mrs. Angelia Norman
Title
Owner
Phone
(251) 359-1845

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

4884 La Ventana Ter
Pensacola, FL 32526-3443

Mailing address

4884 La Ventana Ter
Pensacola, FL 32526-3443
Phone (251) 359-1845

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1682985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682985600000",
    "number": "1912696352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4884 LA VENTANA TER",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325263443",
            "telephone_number": "251-359-1845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4884 LA VENTANA TER",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325263443",
            "telephone_number": "251-359-1845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARDAE'S HEAVENLY TOUCH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-02",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A",
        "authorized_official_last_name": "NORMAN",
        "authorized_official_first_name": "ANGELIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-359-1845",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.