Organization Active NPI

Heavenly Grace Health Services LLC

  • Home Health Agency
  • Sheboygan, WI
National Provider Identifier
1568313120
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HEAVENLY GRACE HEALTH SERVICES LLC
Practice address
124A Lincoln Ave
Sheboygan, WI 53081-2936
Phone
(262) 394-6183
Fax
(262) 394-6183
NPI assigned
Feb 9, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

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

Authorized official

Name
Caressa Scott, LPNNPI 1396978276
Title
Administrator
Phone
(262) 394-6183

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

124A Lincoln Ave
Sheboygan, WI 53081-2936

Mailing address

124A Lincoln Ave
Sheboygan, WI 53081-2936
Phone (262) 394-6183

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1770595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770595200000",
    "number": "1568313120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124A LINCOLN AVE",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530812936",
            "telephone_number": "262-394-6183",
            "fax_number": "262-394-6183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124A LINCOLN AVE",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530812936",
            "telephone_number": "262-394-6183",
            "fax_number": "262-394-6183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY GRACE HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-09",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-08",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "CARESSA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "262-394-6183",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheboygan, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; 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.