Active NPI
Open Heaven Elderly Care LLC
- Home Health Agency
- Eastaboga, AL
National Provider Identifier
1427752021
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- OPEN HEAVEN ELDERLY CARE LLC
- Practice address
- 730 County Line Rd W
Eastaboga, AL 36260-5688 - Phone
- (205) 277-7941
- Fax
- (256) 453-4879
- NPI assigned
- Mar 28, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Vontella Nicole Truss, HOME CARE
- Title
- Ceo
- Phone
- (205) 277-7941
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
730 County Line Rd W
Eastaboga, AL 36260-5688
Mailing address
PO Box 3051
Oxford, AL 36203-0051
Phone (205) 277-7941
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679961600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1682985600000",
"number": "1427752021",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3051",
"city": "OXFORD",
"state": "AL",
"postal_code": "362030051",
"telephone_number": "205-277-7941",
"fax_number": "256-453-4889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "730 COUNTY LINE RD W",
"city": "EASTABOGA",
"state": "AL",
"postal_code": "362605688",
"telephone_number": "205-277-7941",
"fax_number": "256-453-4879"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPEN HEAVEN ELDERLY CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-28",
"last_updated": "2023-05-02",
"certification_date": "2023-05-02",
"status": "A",
"authorized_official_last_name": "TRUSS",
"authorized_official_first_name": "VONTELLA",
"authorized_official_middle_name": "NICOLE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "205-277-7941",
"authorized_official_name_prefix": "Miss",
"authorized_official_credential": "HOME CARE"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eastaboga, AL
- Health Care Authority of the City of Oxford, Alabama (Oxford Health Systems Non-Emergency Medical Transport)
- Jessica Hindman
- Home Advantage Living Assistance Services
- Patricia Payne Morris, CSA, CRNFA
- Northeast Alabama Surgical Associates
- Rainbow Omega, Inc. (Strickland Stringfellow ICF/MR)
- Rainbow Omega, Inc.
- Thomas Skelton
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.