Organization Active NPI

Heaven Home Healthcare, LLC

  • Home Health Agency
  • Saint Paul, MN
National Provider Identifier
1952710568
Registry record updated Jan 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HEAVEN HOME HEALTHCARE, LLC
Practice address
1821 University Ave W Ste S149
Saint Paul, MN 55104-2891
Phone
(651) 340-6456
NPI assigned
Aug 7, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2016

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

Authorized official

Name
Ahmed Hassan Ismail
Title
Owner
Phone
(651) 340-6456

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1821 University Ave W Ste S149
Saint Paul, MN 55104-2891

Mailing address

1821 University Ave W Ste S149
Saint Paul, MN 55104-2891
Phone (651) 340-6456

National Provider Directory

National Provider Directory

Locations

1821 University Ave W
Ste S149
Saint Paul, MN 55104
Phone (651) 340-6456

NPI Registry JSON

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

{
    "created_epoch": "1407369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452816000000",
    "number": "1952710568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 UNIVERSITY AVE W STE S149",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551042891",
            "telephone_number": "651-340-6456",
            "fax_number": "651-340-9827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 UNIVERSITY AVE W STE S149",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551042891",
            "telephone_number": "651-340-6456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVEN HOME HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-07",
        "last_updated": "2016-01-15",
        "status": "A",
        "authorized_official_last_name": "ISMAIL",
        "authorized_official_first_name": "AHMED",
        "authorized_official_middle_name": "HASSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-340-6456"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.