Heavenly Circle Limited Liability Company

Primary specialty

Home Health AideTaxonomy code 374U00000X

Legal business name

HEAVENLY CIRCLE LIMITED LIABILITY COMPANY

Practice address

502 Broadway
Lorain, OH 44052-1732

Phone

(440) 282-8022

Fax

(440) 282-8024

NPI assigned

Jun 11, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Marilyn Vicente

Title

C.E.O

Phone

(440) 396-3246

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1339372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574208000000",
    "number": "1932461571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 BROADWAY",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440521732",
            "telephone_number": "440-282-8022",
            "fax_number": "440-282-8024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 BROADWAY",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440521732",
            "telephone_number": "440-282-8022",
            "fax_number": "440-282-8024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY CIRCLE LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-11",
        "last_updated": "2019-11-20",
        "status": "A",
        "authorized_official_last_name": "VICENTE",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_title_or_position": "C.E.O",
        "authorized_official_telephone_number": "440-396-3246",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0076229",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Lee Haynie, CDCA
• Shamika Denise Hayworth
• Kathryn Foster Hazen, LSW
• Isabella-Blue Headlam
• Health Solution Centers of Lorain Inc.
• Judith Ann Hehl, QMHS MA
• Susan Marie Heichel, LPN, CDCA
• David Heidelberg, FNP-BC
• Patricia Caroline Heilman, O.D.
• Casey Tyler Helms, PA-C

• Home Health Aide in Lorain, OH
• Providers in Lorain, OH by specialty
• Home Health Aide in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2019; 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.