Active NPI
Heavenly Home Care
- Home Health Aide
- Hutto, TX
National Provider Identifier
1851933238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Legal business name
- HEAVENLY HOME CARE
- Practice address
- 145 Sulphur River Loop
Hutto, TX 78634-4466 - Phone
- (512) 642-3404
- NPI assigned
- Oct 17, 2019
- 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
- Ogechi Ezimako
- Title
- Owner
- Phone
- (512) 642-3404
Specialties & licenses 11
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chore Provider | 372500000X | |||
| Adult Companion | 372600000X | |||
| Day Training/Habilitation Specialist | 373H00000X | |||
| Technician | 374700000X | |||
| Attendant Care Provider | 3747A0650X | |||
| Personal Care Attendant | 3747P1801X | |||
| Religious Nonmedical Practitioner | 374K00000X | |||
| Religious Nonmedical Nursing Personnel | 374T00000X | |||
| Home Health Aide | 374U00000X | Primary | ||
| Homemaker | 376J00000X | |||
| Nurse's Aide | 376K00000X |
Addresses
Primary practice location
145 Sulphur River Loop
Hutto, TX 78634-4466
Mailing address
145 Sulphur River Loop
Hutto, TX 78634-4466
Phone (512) 642-3404
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Hutto |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571270400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1578009600000",
"number": "1851933238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 SULPHUR RIVER LOOP",
"city": "HUTTO",
"state": "TX",
"postal_code": "786344466",
"telephone_number": "512-642-3404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 SULPHUR RIVER LOOP",
"city": "HUTTO",
"state": "TX",
"postal_code": "786344466",
"telephone_number": "512-642-3404"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEAVENLY HOME CARE",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-17",
"last_updated": "2020-01-03",
"certification_date": "2020-01-03",
"status": "A",
"authorized_official_last_name": "EZIMAKO",
"authorized_official_first_name": "OGECHI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "512-642-3404"
},
"taxonomies": [
{
"code": "372500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chore Provider",
"state": null,
"license": null,
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": false
},
{
"code": "373H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Day Training/Habilitation Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "374700000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "3747A0650X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician, Attendant Care Provider",
"state": null,
"license": null,
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": false
},
{
"code": "374K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Religious Nonmedical Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "374T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Religious Nonmedical Nursing Personnel",
"state": null,
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
},
{
"code": "376J00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": false
},
{
"code": "376K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse's Aide",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Hutto",
"affiliation": "N",
"address_1": "145 Sulphur River Loop",
"city": "Hutto",
"state": "TX",
"country_code": "US",
"postal_code": "786344466",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hutto, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.