NPIMap

Organization Active NPI

Heavenly Health Care, Inc.

  • Home Health Agency
  • Bellevue, NE
National Provider Identifier
1316266380
Registry record updated Aug 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HEAVENLY HEALTH CARE, INC.
Practice address
2216 Avery Rd E
Bellevue, NE 68005-4643
Phone
(402) 502-8330
Fax
(402) 502-8331
NPI assigned
May 28, 2010
Last updated
Aug 25, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2011

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

Authorized official

Name
Mrs. Tyrisha MasonNPI 1720390297
Title
President/Ceo
Phone
(402) 502-8330

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2216 Avery Rd E
Bellevue, NE 68005-4643

Mailing address

2216 Avery Rd E
Bellevue, NE 68005-4643
Phone (402) 502-8330

National Provider Directory

National Provider Directory

Locations

2216 Avery Rd E
Bellevue, NE 68005
Phone (402) 502-8330

9105 Bedford Ave
Omaha, NE 68134
Phone (402) 393-0133

Practitioners & affiliated clinicians

Practitioners 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1275004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314230400000",
    "number": "1316266380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2216 AVERY RD E",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "680054643",
            "telephone_number": "402-502-8330",
            "fax_number": "402-502-8331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2216 AVERY RD E",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "680054643",
            "telephone_number": "402-502-8330",
            "fax_number": "402-502-8331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-28",
        "last_updated": "2011-08-25",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "TYRISHA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "402-502-8330",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2011; 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.