# HEAVENLY HOME HEALTH AGENCY, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548204837
- **Authorized official:** MR. EDDY MARTINEZ (PRESIDENT)
- **Authorized official phone:** (305) 827-4330

## Contact information

- **Practice address:** 12901 W OKEECHOBEE RD STE 10, HIALEAH GARDENS, FL 33018-6035
- **Practice address phone:** (305) 827-4330
- **Practice address fax:** (786) 398-5781
- **Mailing address:** 12901 W OKEECHOBEE RD STE 10, HIALEAH GARDENS, FL 33018-6035
- **Mailing address phone:** (305) 827-4330
- **Mailing address fax:** (786) 398-5781

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 299992344 | FL | Yes |

## Other

- **Enumeration date:** 06/16/2006
- **Last updated:** 07/31/2013