Heavenly Home Care

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

000258 Issued in AK

Legal business name

HEAVENLY HOME CARE

Practice address

5420 E 99TH Ave
Anchorage, AK 99507-6622

Phone

(907) 245-0994

NPI assigned

May 18, 2007

Organization subpart

No

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

Authorized official

Name

Miss Serena Faye Waggoner

Title

Owner Administrator

Phone

(907) 245-0994

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1023226495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5420 E 99TH AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995076622",
            "telephone_number": "907-245-0994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5420 E 99TH AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995076622",
            "telephone_number": "907-245-0994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "WAGGONER",
        "authorized_official_first_name": "SERENA",
        "authorized_official_middle_name": "FAYE",
        "authorized_official_title_or_position": "OWNER ADMINISTRATOR",
        "authorized_official_telephone_number": "907-245-0994",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AK",
            "license": "000258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RL97411",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laureen Fae Heath, RPH
• Makenzie Heatherly
• Marieke NMN Heatwole, PMHNP-BC
• Heavenly Care, LLC
• Heavenly Hands
• Carla Grose Hebert, RPH
• Carol Hebert, ANP
• Leland Hebert
• Darlene Heckler
• Colton Heckmann

• Assisted Living Facility in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Assisted Living Facility in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; 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.