Organization Active NPI

Heavenly Home Care, LLC

  • In Home Supportive Care Agency
  • Beavercreek, OH
National Provider Identifier
1376182667
Registry record updated Jan 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
HEAVENLY HOME CARE, LLC
Practice address
70 Birch Aly Ste 240202
Beavercreek, OH 45440-1479
Phone
(937) 306-6324
NPI assigned
Jan 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2020

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

Authorized official

Name
Karina Gavalcinova
Title
Owner
Phone
(937) 306-6324

Specialties & licenses 1

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

Addresses

Primary practice location

70 Birch Aly Ste 240202
Beavercreek, OH 45440-1479

Mailing address

70 Birch Aly Ste 240202
Beavercreek, OH 45440-1479
Phone (937) 306-6324

National Provider Directory

National Provider Directory

Locations

70 Birch Aly
Ste 240202
Dayton, OH 45440
Phone (937) 306-6324

NPI Registry JSON

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

{
    "created_epoch": "1578009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578009600000",
    "number": "1376182667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 BIRCH ALY STE 240202",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454401479",
            "telephone_number": "937-306-6324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 BIRCH ALY STE 240202",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454401479",
            "telephone_number": "937-306-6324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-03",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A",
        "authorized_official_last_name": "GAVALCINOVA",
        "authorized_official_first_name": "KARINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-306-6324"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beavercreek, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2020; 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.