Active NPI
Heavenly Nurses Home Health, LLC.
- Home Health Agency
- Laredo, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- HEAVENLY NURSES HOME HEALTH, LLC.
- Doing business as
- Heavenly Nurses Home Health, LLC.
- Practice address
- 104 Del Court Suite#100
Laredo, TX 78041-6417 - Phone
- (956) 726-9700
- NPI assigned
- Jun 17, 2008
- Last updated
- Apr 14, 2015
- 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
- Mrs. Paulina Ann Vasquez, RN, BSN
- Title
- Administrator,Cfo, Ownwer
- Phone
- (956) 235-8965
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
104 Del Court Suite#100
Laredo, TX 78041-6417
Mailing address
104 Del CT Ste 100
Laredo, TX 78041-2248
Phone (956) 726-9700
Other names 1
- Heavenly Nurses Home Health, LLC.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090406000036 | TX | Part A Provider - Home Health Agency | 4587711718 | Practice locations: Laredo, TX |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1447411053. Details of each certification follow.
Home health agency certification: CCN 747424
- Legal name
- HEAVENLY NURSES HOME HEALTH, LLC.
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jul 30, 2010
- Last certification
- Aug 16, 2019
- Ownership / control type
- Proprietary
- Organization structure
- LLC
- Incorporated
- Jun 9, 2008 in TX
- Enrollment address
- 201 W Hillside Rd
Ste 14a
Laredo, TX 78041-3197
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Heavenly Nurses Home Health LLC
- Overall star rating
- Ownership
- Proprietary
- Certified
- Jul 30, 2010
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D1090309 | Heavenly Nurses Home Health PLLC | Certificate of waiver | Oct 7, 2026 |
National Provider Directory
National Provider DirectoryLocations
104 Del Ct
Ste 100
Laredo, TX 78041
Phone (956) 726-9700
5411 McPherson Rd
Ste 105
Laredo, TX 78041
Phone (956) 726-9700
9803 Sterling Loop
Unit 190
Laredo, TX 78045
Phone (956) 726-9700
Ownership & related parties
All disclosed owners & managing parties 1
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Pauline Vaquez | 5% Or Greater Direct Ownership Interest | Jun 9, 2008 | 50% |
| Corporate Officer | Aug 3, 2023 | 100% | |
| W-2 Managing Employee | Aug 3, 2023 | 100% | |
| Operational/Managerial Control | Jun 9, 2008 | 50% |
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Physical Therapy Assistant
- Laredo, TX
- NPI 1154178994
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Mercedes, TX
- NPI 1871908178
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213660800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1428969600000",
"number": "1447411053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 DEL CT STE 100",
"city": "LAREDO",
"state": "TX",
"postal_code": "780412248",
"telephone_number": "956-726-9700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 DEL COURT SUITE#100",
"city": "LAREDO",
"state": "TX",
"postal_code": "780416417",
"telephone_number": "956-726-9700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEAVENLY NURSES HOME HEALTH, LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-17",
"last_updated": "2015-04-14",
"status": "A",
"authorized_official_last_name": "VASQUEZ",
"authorized_official_first_name": "PAULINA",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "ADMINISTRATOR,CFO, OWNWER",
"authorized_official_telephone_number": "956-235-8965",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RN, BSN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Heavenly Nurses Home Health, LLC.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Laredo, TX
- Healthville Pharmacy LLC (Healthville Pharmacy)
- Healthy Alliance Counseling LLC
- Guillermo Heard, NP
- Lisa Heard, FNP-BC, PMHNP-BC
- Heart of Angels Primary Homecare
- Hector Lopez, D.D.S., P.C.
- Hector Santos MD, PLLC
- Hematology Oncology Specialists of Texas PA
- Karen Sue Henderson, PH.D.
- Nicole Daneel Henry, D.O.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.