Organization Active NPI

Heavenly Holden Homecare Agency LLC

  • Community Health Worker
  • Nacogdoches, TX
National Provider Identifier
1801500863
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Legal business name
HEAVENLY HOLDEN HOMECARE AGENCY LLC
Practice address
8987 US Highway 259
Nacogdoches, TX 75965-0826
Phone
(832) 797-9028
NPI assigned
Jan 12, 2023
Last updated
Mar 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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

Authorized official

Name
Ms. Cierria Estavonne NashNPI 1700687779
Title
Owner
Phone
(832) 704-8325

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X NU Primary
In Home Supportive Care Agency 253Z00000X NU

Addresses

Primary practice location

8987 US Highway 259
Nacogdoches, TX 75965-0826

Mailing address

8987 US Highway 259
Nacogdoches, TX 75965-0826
Phone (832) 797-9028

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1673481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742774400000",
    "number": "1801500863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8987 US HIGHWAY 259",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759650826",
            "telephone_number": "832-797-9028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8987 US HIGHWAY 259",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759650826",
            "telephone_number": "832-797-9028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY HOLDEN HOMECARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-12",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A",
        "authorized_official_last_name": "NASH",
        "authorized_official_first_name": "CIERRIA ESTAVONNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-704-8325",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nacogdoches, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; 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.