Organization Active NPI

Heavenly Healing Home Health LLC

  • Home Health Agency
  • El Paso, TX
National Provider Identifier
1487079901
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
016230 Issued in TX
Legal business name
HEAVENLY HEALING HOME HEALTH LLC
Practice address
11500 Pellicano Dr Ste C-6
El Paso, TX 79936-6080
Phone
(915) 500-5845
Fax
(915) 975-8225
NPI assigned
Feb 19, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

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

Authorized official

Name
Margarita Ortega, C/A MEDICINE
Title
/Administrator/Nursing/Ceo
Phone
(915) 500-5845

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 016230 TX Primary

Addresses

Primary practice location

11500 Pellicano Dr Ste C-6
El Paso, TX 79936-6080

Mailing address

8122 Tigua Cir
El Paso, TX 79907-4122
Phone (915) 500-5845

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150521001602 TX Part A Provider - Home Health Agency 4486974060 Practice locations: El Paso, TX

Home health agency certification: CCN 747967

Legal name
HEAVENLY HEALING HOME HEALTH LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 7, 2015
Last certification
Nov 16, 2018
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Feb 12, 2014 in TX
Enrollment address
11500 Pellicano Dr
Ste C-6
El Paso, TX 79936-6080

Care Compare: Home health agency

Medicare Care Compare
Listed as
Heavenly Healing Home Health LLCCCN 747967
Ownership
Proprietary
Certified
Nov 7, 2015
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

11500 Pellicano Dr
Ste C-6
El Paso, TX 79936
Phone (915) 500-5845

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
Margarita Ortega Individual Contracted Managing Employee Feb 24, 2014 100%
5% Or Greater Direct Ownership Interest Feb 24, 2014 100%
5% Or Greater Mortgage Interest Feb 24, 2014 100%
5% Or Greater Security Interest Feb 24, 2014 100%
Corporate Officer Feb 24, 2014 100%
Corporate Director Feb 24, 2014 100%
W-2 Managing Employee Feb 24, 2014 100%
Operational/Managerial Control Feb 24, 2014 100%

Practitioners & affiliated clinicians

Affiliated clinicians 6

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": "1392768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643155200000",
    "number": "1487079901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8122 TIGUA CIR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799074122",
            "telephone_number": "915-500-5845",
            "fax_number": "915-975-8225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11500 PELLICANO DR STE C-6",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799366080",
            "telephone_number": "915-500-5845",
            "fax_number": "915-975-8225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY HEALING HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-19",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A",
        "authorized_official_last_name": "ORTEGA",
        "authorized_official_first_name": "MARGARITA",
        "authorized_official_title_or_position": "/ADMINISTRATOR/NURSING/CEO",
        "authorized_official_telephone_number": "915-500-5845",
        "authorized_official_credential": "C/A MEDICINE"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "016230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.