Organization Active NPI

Heavenly Care Innovations,LLC

  • In Home Supportive Care Agency
  • Louisville, KY
National Provider Identifier
1154274546
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
HEAVENLY CARE INNOVATIONS,LLC
Practice address
4201 Simcoe LN Apt 253
Louisville, KY 40241-4184
Phone
(859) 353-1452
NPI assigned
Feb 17, 2026
Last updated
Feb 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2026

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

Authorized official

Name
Paikita Jackson
Title
Owner
Phone
(859) 353-1452

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

4201 Simcoe LN Apt 253
Louisville, KY 40241-4184

Mailing address

4201 Simcoe LN Apt 253
Louisville, KY 40241-4184
Phone (859) 353-1452

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1771286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771286400000",
    "number": "1154274546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 SIMCOE LN APT 253",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402414184",
            "telephone_number": "859-353-1452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 SIMCOE LN APT 253",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402414184",
            "telephone_number": "859-353-1452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY CARE INNOVATIONS,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-17",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "PAIKITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-353-1452"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; 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.