HEAVENLY SENIOR CARE LLC (NPI# 1003346263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003346263 |
| Entity Type | Organization |
| Organization Name | HEAVENLY SENIOR CARE LLC |
| Other Organization Name | HEAVENLY SENIOR CARE |
| Practice Address |
115 Sw 9th Ter Apt 303 Ft Lauderdale FL 33312-1744 |
| Practice Telephone | (954) 281-6815 |
| Mailing Telephone | 9542816815 |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2017-06-19 |
| Authorized Official Name | MR. HARRY POLYCARPE (ADMINISTRATOR) |
| Authorized Official Telephone | 9542816815 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| Other Name | Type Code |
|---|---|
| Heavenly Senior Care | Doing Business As Name - Organization |
| Street Address |
115 SW 9TH TER APT 303 |
| City | FT LAUDERDALE |
| State | FL |
| Zip Code | 33312-1744 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679112965 | Krista Moreno | Marriage & Family Therapist | 2699 Stirling Road Building C Suite 403e, Fort Lauderdale, FL 33312 | 2020-01-03 |
| 1700428026 | Caring Village of Lauderdale LLC | Assisted Living Facility | 408-412 Sw 7th Ave, Fort Lauderdale, FL 33312 | 2019-10-09 |
| 1548742356 | Inspire Acupuncture | Acupuncturist | 1000 Riverside Drive, Fort Lauderdale, FL 33312 | 2018-08-29 |
| 1447762919 | Daniel Desta Bekele | General Practice | 1001 W Las Olas Blvd Apt 4, Fort Lauderdale, FL 33312 | 2017-10-24 |
| 1649798653 | Angel Luis Perez | Nurse Practitioner | 3041 Sw 47 Street, Fort Lauderdale, FL 33312 | 2017-08-30 |
| 1902322738 | Ashley Ingrid Rini | Dentist | 1620 Sw 33rd Ave, Fort Lauderdale, FL 33312 | 2017-08-14 |
| 1548794993 | Elise Cruz | Nurse Practitioner | 3301 Sw 16th Street, Fort Lauderdale, FL 33312 | 2017-04-12 |
| 1619415924 | Antoinette Battle | Nurse Practitioner | 3470 Sw 19th Street, Fort Lauderdale, FL 33312 | 2017-02-07 |
| 1902344252 | Melissa Miller | Counselor | 2962 Southwest 26th Terrace, 204, Fort Lauderale, FL 33312 | 2017-02-07 |
| 1164975934 | Brandon Nieves Stella | Technician, Other | 620 Sw 14th Ter, Fort Lauderdale, FL 33312 | 2016-07-28 |
| Find all providers in zip 33312 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487254199 | Ahhc Services, LLC | In Home Supportive Care | 2650 Ne 57th St, Ft Lauderdale, FL 33308-2709 | 2020-10-30 |
| 1609124056 | You've Got A Friend, Inc. | In Home Supportive Care | 901 S Federal Hwy, Suite 100, Ft Lauderdale, FL 33316-1266 | 2012-08-16 |
| 1891989711 | Caring Home Care, Inc. | In Home Supportive Care | 1011 Nw 51st St, Suite 6, Ft Lauderdale, FL 33309-3183 | 2007-09-04 |
| 1306091913 | Healthy Families Broward | In Home Supportive Care | 915 Middle River Dr Ste 120, Ft Lauderdale, FL 33304-3559 | 2008-11-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700487477 | Benevolent Home Care Solutions, LLC | In Home Supportive Care | 303 N Charles Willis Dr, Midway, FL 32343-4294 | 2020-11-08 |
| 1396346045 | Alea Home Services Corp | In Home Supportive Care | 10300 Sw 72nd St Ste 261a, Miami, FL 33173-3014 | 2020-11-07 |
| 1124629134 | Shameka Ashawn Raines | In Home Supportive Care | 111 N Bay St, Port St Joe, FL 32456-1431 | 2020-11-05 |
| 1477154680 | C.n.e Health Care LLC | In Home Supportive Care | 10859 Jessica Ash Dr, Jacksonville, FL 32218-6537 | 2020-11-04 |
| 1821698648 | Evolution Home Care LLC | In Home Supportive Care | 7401 Wiles Rd Ste 214, Coral Springs, FL 33067-2038 | 2020-10-30 |
| 1790385334 | Care One, LLC | In Home Supportive Care | 15399 Ne 6th Ave Apt 401, Miami, FL 33162-5076 | 2020-10-30 |
| 1861092801 | Laundry Cleaner Corp | In Home Supportive Care | 7050 Nw 2nd Ave, Miami, FL 33150-4008 | 2020-10-29 |
| 1295334258 | Petagaye A Porter | In Home Supportive Care | 1627 Burnham St, Orlando, FL 32808-6011 | 2020-10-21 |
| 1942809918 | Angel Heart Homemaker and Companion Care Services LLC | In Home Supportive Care | 1423 Se 16th Pl Ste 203, Cape Coral, FL 33990-3891 | 2020-10-21 |
| 1023617206 | Favored Abilities Support Services LLC | In Home Supportive Care | 225 Crestrun Loop, Leesburg, FL 34748-2597 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
| City | FT LAUDERDALE |
| Zip Code | 33312 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.