Heavenly Health Services LLC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

3082172 Issued in FL

Legal business name

HEAVENLY HEALTH SERVICES LLC

Practice address

388 SW 163Rd Ave
Pembroke Pines, FL 33027-1084

Phone

(954) 673-4065

NPI assigned

Mar 12, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Eva Mireille Jacques, ARNPNPI 1831469477

Title

Propriator

Phone

(954) 673-4065

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eva Mireille Jacques, ARNP

  • Adult Health Nurse Practitioner
  • Plantation, FL
  • NPI 1831469477
  NPD (past) Authorized official

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

{
    "created_epoch": "1394582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409270400000",
    "number": "1962828103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "388 SW 163RD AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330271084",
            "telephone_number": "954-673-4065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 SW 163RD AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330271084",
            "telephone_number": "954-673-4065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-12",
        "last_updated": "2014-08-29",
        "status": "A",
        "authorized_official_last_name": "JACQUES",
        "authorized_official_first_name": "EVA",
        "authorized_official_middle_name": "MIREILLE",
        "authorized_official_title_or_position": "PROPRIATOR",
        "authorized_official_telephone_number": "954-673-4065",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "3082172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hearing AIDS of Broward, Inc
• Heartwise Insight Therapies Inc
• Natasha Faye Heaselgrave, MSC., BCBA
• Rainya Nicole Heath, MD
• Heaven Health LLC
• Heavenly Nursing Care Services Inc.
• Jeana Marie Heinz, P.A.
• Nicole Alexandra Heitz, PA-C
• Howard T. Heller, MD
• Joleen R Hellman, RRT

• Adult Health Nurse Practitioner in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Adult Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2014; 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.