Heavenly Home Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

194700400 Issued in CA

Legal business name

HEAVENLY HOME CARE

Practice address

44812 Ruthron St
Lancaster, CA 93536-8413

Phone

(704) 589-4408

NPI assigned

Jan 19, 2018

Organization subpart

No

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

Authorized official

Name

Yayineabeba Assefa

Title

Ceo

Phone

(703) 589-4408

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1516320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516320000000",
    "number": "1093223414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44812 RUTHRON ST",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935368413",
            "telephone_number": "704-589-4408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44812 RUTHRON ST",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935368413",
            "telephone_number": "704-589-4408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-19",
        "last_updated": "2018-01-19",
        "status": "A",
        "authorized_official_last_name": "ASSEFA",
        "authorized_official_first_name": "YAYINEABEBA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "703-589-4408"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "194700400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cadrena Heard
• Heart Center of the Antelope Valley Medical Group
• Heart of the Valley Congregate Living
• Yolanda R Heath, CNM
• Heavenly Angels Community Services
• Heavenly Home Care
• Tyler Heckathorn
• Amy McCabe Heibel, LCSW
• Lauren Heidelberg
• Sheryl Lee Heidt, M.A. CCC-SLP 6590

• Home Health Agency in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2018; 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.