A Heavenly Home Healthcare Agency

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

2531906 Issued in OH

Legal business name

A HEAVENLY HOME HEALTHCARE AGENCY

Practice address

430 Courtright Dr
Pickerington, OH 43147-1528

Phone

(614) 917-9118

NPI assigned

Aug 10, 2007

Last updated

Sep 7, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Stephanie Kimberly Starks, B.S.

Title

Owner

Phone

(614) 917-9118

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189123200000",
    "number": "1669664082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 COURTRIGHT DR",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431471528",
            "telephone_number": "614-917-9118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 COURTRIGHT DR",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431471528",
            "telephone_number": "614-917-9118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A HEAVENLY HOME HEALTHCARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-10",
        "last_updated": "2007-09-07",
        "status": "A",
        "authorized_official_last_name": "STARKS",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-917-9118",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "B.S."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": "2531906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ODMRDD CONTRACT NUMBER",
            "identifier": "2531906",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ODJFS MEDICAID PROVIDER #",
            "identifier": "2743188",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Enagnon Tatiana Prisca Abode
• Alexis Abubaker

• Home Health Agency in Pickerington, OH
• Providers in Pickerington, OH by specialty
• Home Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2007; 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.