Organization Active NPI

L & L Heavenly Home Healthcare LLC

  • Personal Care Attendant
  • Beaumont, TX
National Provider Identifier
1881328052
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Legal business name
L & L HEAVENLY HOME HEALTHCARE LLC
Practice address
5053 Highway 69 S Ste 103a
Beaumont, TX 77705-1268
Phone
(409) 234-3002
NPI assigned
Jul 13, 2022
Last updated
Sep 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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

Authorized official

Name
Mrs. Terrelynn K Flowers
Title
Owner/Administrator
Phone
(409) 434-0105

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X NU Primary
In Home Supportive Care Agency 253Z00000X NU

Addresses

Primary practice location

5053 Highway 69 S Ste 103a
Beaumont, TX 77705-1268

Mailing address

17350 State Hwy 249, Ste 220 #5485
Houston, TX 77064
Phone (409) 234-3002

National Provider Directory

National Provider Directory

Locations

5053 Highway 69 S
Ste 103A
Beaumont, TX 77705
Phone (409) 234-3002

5053 Highway 69 S
Ste A1
Beaumont, TX 77705

NPI Registry JSON

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

{
    "created_epoch": "1657670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695859200000",
    "number": "1881328052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17350 STATE HWY 249, STE 220 #5485",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77064",
            "telephone_number": "409-234-3002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5053 HIGHWAY 69 S STE 103A",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777051268",
            "telephone_number": "409-234-3002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L & L HEAVENLY HOME HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-13",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A",
        "authorized_official_last_name": "FLOWERS",
        "authorized_official_first_name": "TERRELYNN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "409-434-0105",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "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 Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; 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.