Active NPI
Heavenly Healing Home Health LLC
- Home Health Agency
- El Paso, TX
National Provider Identifier
1487079901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 016230
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 LLC
- Ownership
- Proprietary
- Certified
- Nov 7, 2015
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Margarita Ortega | 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.
-
- Family Nurse Practitioner
- El Paso, TX
- NPI 1447139902
Home health agency
-
- Geriatric Medicine (Internal Medicine) Physician
- El Paso, TX
- NPI 1679153779
Home health agency
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; 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.