Organization Active NPI

Open Heaven Elderly Care LLC

  • Home Health Agency
  • Eastaboga, AL
National Provider Identifier
1427752021
Registry record updated May 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on May 2, 2023

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)CodeLicenseStatePrimary
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 Directory

NPI 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

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.

Verify at the official NPI Registry.