Heavenly Health Care, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

010551 Issued in TX

Legal business name

HEAVENLY HEALTH CARE, LLC

Practice address

1506 E Griffin Pkwy Ste B
Mission, TX 78572-2426

Phone

(956) 271-4755

Fax

(956) 598-5098

NPI assigned

Jul 10, 2006

Organization subpart

No

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

Authorized official

Name

Grecia Padilla

Title

Adminstrator

Phone

(956) 271-4755

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1881628337. Details of each certification follow.

• CCN 679656 Home health agency · Active · Details

Home health agency certification: CCN 679656

Legal name

HEAVENLY HEALTH CARE LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Aug 27, 2007

Last certification

Mar 21, 2019

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Sep 1, 2005 in TX

Enrollment address

1506 E Griffin Pkwy
Ste B
Mission, TX 78572-2426

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Heavenly Health Care, LLC

  • Community Based Hospice Care Agency
  • Mission, TX
  • NPI 1538920699

  9133122591

  Same PAC ID

Listed as

Heavenly Health CareCCN 679656 · All quality measures

Overall star rating

1.5 of 5

Ownership

Proprietary

Certified

Aug 27, 2007

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Locations

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Heavenly Health Care, LLC

  • Community Based Hospice Care Agency
  • Mission, TX
  • NPI 1538920699
  NPPES parent name

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741996800000",
    "number": "1881628337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506 E GRIFFIN PKWY STE B",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785722426",
            "telephone_number": "956-271-4755",
            "fax_number": "956-598-5098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1506 E GRIFFIN PKWY STE B",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785722426",
            "telephone_number": "956-271-4755",
            "fax_number": "956-598-5098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2025-03-15",
        "certification_date": "2025-03-15",
        "status": "A",
        "authorized_official_last_name": "PADILLA",
        "authorized_official_first_name": "GRECIA",
        "authorized_official_title_or_position": "ADMINSTRATOR",
        "authorized_official_telephone_number": "956-271-4755"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "010551",
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208647201",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TDADS",
            "identifier": "010551",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PAS",
            "identifier": "001018475",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Mission, TX
• Providers in Mission, 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 Mar 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.