Organization Active NPI

Heavenly Nurses Home Health, LLC.

  • Home Health Agency
  • Laredo, TX
National Provider Identifier
1447411053
Registry record updated Apr 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2015

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)CodeLicenseStatePrimary
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. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
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 LLCCCN 747424 · All quality measures
Overall star rating
1.5 of 5
Ownership
Proprietary
Certified
Jul 30, 2010
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1090309Heavenly Nurses Home Health PLLC201 W Hillside Rd Suite 14, Laredo, TX 78041Certificate of waiverOct 7, 2026

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Pauline Vaquez Individual 5% Or Greater Direct Ownership Interest Jun 9, 2008 50%
Corporate OfficerCfo, Ceo Administrator, Board Me Aug 3, 2023 100%
W-2 Managing EmployeeCeo, Cfo Adminstrator, Board Mem Aug 3, 2023 100%
Operational/Managerial ControlOwner 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.

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

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

Sources for this page

Verify at the official NPI Registry.