Organization Active NPI

T&D Heavenly Home Healthcare Inc

  • Personal Care Attendant
  • Houston, TX
National Provider Identifier
1891189882
Registry record updated Oct 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Legal business name
T&D HEAVENLY HOME HEALTHCARE INC
Practice address
6101 Pinemont Dr Ste G
Houston, TX 77092-3212
Phone
(281) 965-3630
Fax
(281) 947-3120
NPI assigned
Mar 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2018

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

Authorized official

Name
Mr. Therall P Anderson
Title
Owner
Phone
(281) 965-3630

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X TX
Personal Care AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 3747P1801X Primary

Addresses

Primary practice location

6101 Pinemont Dr Ste G
Houston, TX 77092-3212

Mailing address

6101 Pinemont Dr Ste G
Houston, TX 77092-3212
Phone (281) 965-3630

Other practice location 1

8702 Wild Basin Dr
Ste a
Houston, TX 77088-8022
Phone (281) 965-3630

Other identifiers 1

IdentifierTypeStateIssuer
384738602MedicaidTX

Other names 1

  • T&D HEAVENLY HOME HEALTHCARE INC Former legal business name

National Provider Directory

National Provider Directory

Locations

6101 Pinemont Dr
Ste G
Houston, TX 77092
Phone (281) 965-3630

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1427414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540425600000",
    "number": "1891189882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 PINEMONT DR STE G",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770923212",
            "telephone_number": "281-965-3630",
            "fax_number": "281-947-3120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6101 PINEMONT DR STE G",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770923212",
            "telephone_number": "281-965-3630",
            "fax_number": "281-947-3120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8702 Wild Basin Dr",
            "address_2": "STE A",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770888022",
            "country_code": "US",
            "telephone_number": "281-965-3630",
            "fax_number": "281-947-3120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "T&D HEAVENLY HOME HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-27",
        "last_updated": "2018-10-25",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "THERALL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-965-3630",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "384738602",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "T&D HEAVENLY HOME HEALTHCARE INC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "T&D HEAVENLY HOME HEALTHCARE INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2018; 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.