HEAVENLY HEALTH SERVICES LLC
NPI 1962828103
Nurse Practitioner - Adult Health in Pembroke Pines, FL

Q: What is Heavenly Health Services LLC's NPI number?

The NPI number for Heavenly Health Services LLC is 1962828103. It was assigned to this organization in the NPPES registry on March 12, 2014.

Q: What is Heavenly Health Services LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Active since March 12, 2014

388 SW 163RD AVE, PEMBROKE PINES, FL 33027(954) 673-4065 Get Directions Write a Review

NPPES record last updated: August 29, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Heavenly Health Services Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEAVENLY HEALTH SERVICES LLC (NPI 1962828103) is a healthcare organization registered as an adult health in Pembroke Pines, Florida and active in the NPI registry since March 2014. The organization lists Eva Mireille Jacques, Propriator, as its authorized official.

NPPES Registry Identity

NPI1962828103

Entity TypeOrganization

Primary Taxonomy363LA2200X

Legal Business NameHEAVENLY HEALTH SERVICES LLC

Location Address388 SW 163RD AVEPembroke Pines, FL 33027-1084

Mailing Address388 Sw 163rd AvePembroke Pines, FL 33027-1084 · (954) 673-4065

Phone(954) 673-4065

Organization SubpartNo

Authorized OfficialEva Mireille JacquesPropriator · (954) 673-4065

Enumeration DateMarch 12, 2014

Last NPPES UpdateAugust 29, 2014

✔ NPI 1962828103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in FL · 3082172

388 SW 163RD AVE, Pembroke Pines, FL 33027

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Heavenly Health Services LLC's NPI number?

The NPI number for Heavenly Health Services LLC is 1962828103. It was assigned to this organization in the NPPES registry on March 12, 2014.

Where is Heavenly Health Services LLC located?

Heavenly Health Services LLC is located at 388 SW 163rd Ave, Pembroke Pines, FL 33027. The listed phone number is (954) 673-4065.

What is Heavenly Health Services LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Heavenly Health Services LLC was last updated on August 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.