Active NPI
Heaven Home Healthcare, LLC
- Home Health Agency
- Saint Paul, MN
National Provider Identifier
1952710568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.