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HEAVENLY ANGELS CARE HOME LLC NPI 1609645787


NPI Information

NPI: 1609645787
Provider Name: HEAVENLY ANGELS CARE HOME LLC
Classification: Nursing Care - 251J00000X
Entity Type: Organization

CLIA Number: 03D2272548

Address:
1414 E PASEO WAY # A
PHOENIX, AZ
ZIP 85042
Phone: (480) 206-9219
Get Directions

HEAVENLY ANGELS CARE HOME LLC is a nursing care in Phoenix, AZ. The provider is a Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. HEAVENLY ANGELS CARE HOME LLC NPI is 1609645787. The provider is registered as an organization entity type.

The provider's business location address is:

1414 E PASEO WAY # A
PHOENIX, AZ
ZIP 85042-405
Phone: (480) 206-9219

The provider's authorized official is Shahidah F Moore .
The authorized official title is Owner and has the following contact phone number (480) 206-9219.

The CLIA number assigned to this NPI record is 03D2272548 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/29/2023 and was last updated on 12/29/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251J00000XNursing CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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