Active NPI
Heavenly Host Inc
- Home Health Agency
- Mesquite, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- HEAVENLY HOST INC
- Practice address
- 536 S Bryan Belt Line Rd
Mesquite, TX 75149-5031 - Phone
- (972) 289-3800
- Fax
- (972) 289-3801
- NPI assigned
- Jul 26, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Viji Antony
- Title
- Director
- Phone
- (972) 289-3800
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary | ||
| Personal Care Attendant | 3747P1801X |
Addresses
Primary practice location
536 S Bryan Belt Line Rd
Mesquite, TX 75149-5031
Mailing address
536 S Bryan Belt Line Rd
Mesquite, TX 75149-5031
Phone (972) 289-3800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070801000079 | TX | Part A Provider - Home Health Agency | 2567553886 | Practice locations: Mesquite, TX |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1093738379. Details of each certification follow.
Home health agency certification: CCN 679778
- Legal name
- HEAVENLY HOST INC
- Doing business as
- HEAVENLY HOST HOME HEALTH
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Apr 10, 2008
- Last certification
- Nov 13, 2020
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Jun 20, 2006 in TX
- Enrollment address
- 536 S Bryan Belt Line Road
Mesquite, TX 75149-5031
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Heavenly Host Home Health
- Overall star rating
- Ownership
- Proprietary
- Certified
- Apr 10, 2008
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D1057531 | Heavenly Host Inc | Certificate of waiver | Aug 14, 2026 |
National Provider Directory
National Provider DirectoryLocations
2033 Military Pkwy
Ste 305C
Mesquite, TX 75149
Ownership & related parties
All disclosed owners & managing parties 3
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Viji Antony | 5% Or Greater Direct Ownership Interest | Jun 20, 2016 | 100% |
| Corporate Officer | Mar 8, 2010 | ||
| Corporate Director | Jun 20, 2006 | ||
| W-2 Managing Employee | Jun 20, 2006 | ||
| Omana Antony | W-2 Managing Employee | Jul 19, 2006 | |
| Sheeba Zachariah | W-2 Managing Employee | Jul 19, 2006 |
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Durable Medical Equipment & Medical Supplies
- Mesquite, TX
- NPI 1669486841
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Mesquite, TX
- NPI 1194098111
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1751846400000",
"number": "1093738379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "536 S BRYAN BELT LINE RD",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751495031",
"telephone_number": "972-289-3800",
"fax_number": "972-289-3801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "536 S BRYAN BELT LINE RD",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751495031",
"telephone_number": "972-289-3800",
"fax_number": "972-289-3801"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEAVENLY HOST INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-26",
"last_updated": "2025-07-07",
"certification_date": "2025-07-07",
"status": "A",
"authorized_official_last_name": "ANTONY",
"authorized_official_first_name": "VIJI",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "972-289-3800"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "3747P1801X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesquite, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.