Heavenly Providers Health Care, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

010640 Issued in TX

Legal business name

HEAVENLY PROVIDERS HEALTH CARE, INC

Practice address

8402 Redcliff Rd
Houston, TX 77064-7949

Phone

(713) 849-9521

NPI assigned

Feb 19, 2007

Organization subpart

No

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

Authorized official

Name

Gussie Talford

Title

Administrator

Phone

(713) 849-9521

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861536088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8402 REDCLIFF RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770647949",
            "telephone_number": "713-849-9521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8402 REDCLIFF RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770647949",
            "telephone_number": "713-849-9521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY PROVIDERS HEALTH CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TALFORD",
        "authorized_official_first_name": "GUSSIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "713-849-9521"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "010640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010640",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heavenly Haven
• Heavenly Home Health Services Inc
• Heavenly Manor Assisted Living LLC
• Heavenly Manor I
• Heavenly Manor II LLC
• Heavenly Touch Home Care Services LLC
• Heavenlynails
• Sushma Raman Hebbar, MD
• Charles G Hebenstreit, M.D.
• Stacy Hebert - Schoener, DDS

• Home Health Agency in Houston, TX
• Providers in Houston, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.