Heaven Glorious Home Health Agency Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

HEAVEN GLORIOUS HOME HEALTH AGENCY INC

Practice address

2665 Villa Creek Dr
Suite A248
Dallas, TX 75234-7309

Phone

(972) 331-4477

Fax

(972) 488-9200

NPI assigned

Dec 29, 2008

Organization subpart

No

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

Authorized official

Name

Breaget N Fumudons

Title

Administrator

Phone

(214) 607-7625

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1230508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475193600000",
    "number": "1104062934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2665 VILLA CREEK DR",
            "address_2": "SUITE A248",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752347309",
            "telephone_number": "972-331-4477",
            "fax_number": "972-488-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2665 VILLA CREEK DR",
            "address_2": "SUITE A248",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752347309",
            "telephone_number": "972-331-4477",
            "fax_number": "972-488-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVEN GLORIOUS HOME HEALTH AGENCY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-29",
        "last_updated": "2016-09-30",
        "status": "A",
        "authorized_official_last_name": "FUMUDONS",
        "authorized_official_first_name": "BREAGET",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "214-607-7625"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Gano, MD, PLLC
• Natalie Octavia Heather, CRNA
• William Heatherington, SLP-ASSISTANT
• Kim Heaton, RPH
• Luke Thomas Heaton, DDS
• Heavenly Christian Academy
• Heavenly Hands Family Medical Clinic, PLLC
• Heavenly Hands Hope Foundation
• Heavenly Love Homecare LLC
• Heavenly Works LLC

• Home Health Agency in Dallas, TX
• Providers in Dallas, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2016; 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.