Heavenly Hands Homecare LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

HEAVENLY HANDS HOMECARE LLC

Practice address

5009 Brentwood Stair Rd Ste 103
Fort Worth, TX 76112-2859

Phone

(817) 888-3112

Fax

(817) 888-3112

NPI assigned

Jan 28, 2022

Organization subpart

No

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

Authorized official

Name

Keisha Johnson

Title

President/Admin

Phone

(817) 891-3217

Specialties & licenses 5

Addresses

Locations

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

{
    "created_epoch": "1643328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681862400000",
    "number": "1245983444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5009 BRENTWOOD STAIR RD STE 103",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761122859",
            "telephone_number": "817-888-3112",
            "fax_number": "817-888-3112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5009 BRENTWOOD STAIR RD STE 103",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761122859",
            "telephone_number": "817-888-3112",
            "fax_number": "817-888-3112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY HANDS HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-28",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KEISHA",
        "authorized_official_title_or_position": "PRESIDENT/ADMIN",
        "authorized_official_telephone_number": "817-891-3217"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "372600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Neville, M.D., PLLC
• Heaven in Hiding ABA Therapy
• Heaven in Hiding Behavior Center LLC
• Heavenly Hands Express Transportation LLC
• Heavenly Hands Express Transportation LLC
• Heavenly Housing Solutions Inc
• Larry Joseph Hebert Sr., LMSW
• Michayla Hebert
• Benjamin L Hebron, ATP
• Jennifer Anna Lee Hecht, D.O.

• In Home Supportive Care Agency in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• In Home Supportive Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; 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.