NPIMap

Organization Active NPI

Heaven;Ly Hospice@Home LLC

  • Community Based Hospice Care Agency
  • Stafford, TX
National Provider Identifier
1366463481
Registry record updated Jan 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
14510 Issued in TX
Legal business name
HEAVEN;LY HOSPICE@HOME LLC
Practice address
445 FM 1092 Rd Ste 101G
Stafford, TX 77477-5453
Phone
(281) 969-8491
NPI assigned
Jul 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2013

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

Authorized official

Name
Mrs. Omana Simon
Title
Administrator
Phone
(832) 693-6532

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 14510 TX Primary
Military Hospital 286500000X 0377171-22 TX

Addresses

Primary practice location

445 FM 1092 Rd Ste 101G
Stafford, TX 77477-5453

Mailing address

445 FM 1092 Rd Ste 101G
Stafford, TX 77477-5453
Phone (281) 969-8491

National Provider Directory

National Provider Directory
Tax ID family
Esolutions Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359331200000",
    "number": "1366463481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 FM 1092 RD STE 101G",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774775453",
            "telephone_number": "281-969-8491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 FM 1092 RD STE 101G",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774775453",
            "telephone_number": "281-969-8491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVEN;LY HOSPICE@HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2013-01-28",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "OMANA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "832-693-6532",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "TX",
            "license": "14510",
            "primary": true
        },
        {
            "code": "286500000X",
            "taxonomy_group": "",
            "desc": "Military Hospital",
            "state": "TX",
            "license": "0377171-22",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2013; 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.