Active NPI
D&D Heavenly Healthcare Inc
- Home Health Agency
- The Woodlands, TX
National Provider Identifier
1720330772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 013626
- Legal business name
- D&D HEAVENLY HEALTHCARE INC
- Doing business as
- D&D Heavenly Healthcare Inc
- Practice address
- 19 Rustic Bend PL
The Woodlands, TX 77382-3803 - Phone
- (832) 766-7532
- Fax
- (281) 789-7574
- NPI assigned
- Oct 15, 2012
- 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
- Mrs. Regina A Dunbar
- Title
- Administrator
- Phone
- (832) 766-7532
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 013626 | TX | Primary |
Addresses
Primary practice location
19 Rustic Bend PL
The Woodlands, TX 77382-3803
Mailing address
19 Rustic Bend PL
The Woodlands, TX 77382-3803
Phone (832) 766-7532
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2179582 | Medicaid | TX |
Other names 1
- D&D HEAVENLY HEALTHCARE INC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350259200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1350259200000",
"number": "1720330772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 RUSTIC BEND PL",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "773823803",
"telephone_number": "832-766-7532",
"fax_number": "281-789-7475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 RUSTIC BEND PL",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "773823803",
"telephone_number": "832-766-7532",
"fax_number": "281-789-7574"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "D&D HEAVENLY HEALTHCARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-10-15",
"last_updated": "2012-10-15",
"status": "A",
"authorized_official_last_name": "DUNBAR",
"authorized_official_first_name": "REGINA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "832-766-7532",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "TX",
"license": "013626",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2179582",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "D&D HEAVENLY HEALTHCARE INC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in The Woodlands, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.