Organization Active NPI

Heavenly Home Care Services LLC

  • In Home Supportive Care Agency
  • Anderson, SC
National Provider Identifier
1902523822
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
HEAVENLY HOME CARE SERVICES LLC
Practice address
1434A W Market St
Anderson, SC 29624-1328
Phone
(864) 221-1441
NPI assigned
Oct 21, 2022
Last updated
Jun 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Authorized official

Name
Adrain Letisha Patterson, RNNPI 1134866148
Title
Registered Nurse
Phone
(864) 735-0692

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU
Nursing Care Agency 251J00000X NU
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

1434A W Market St
Anderson, SC 29624-1328

Mailing address

PO Box 3756
Anderson, SC 29622-3756
Phone (864) 221-1441

Other identifiers 1

IdentifierTypeStateIssuer
1134866148MedicaidSC

Other names 2

  • Heavenly Home Care Services LLC Former legal business name
  • Kingdom Care Solutions, LLC Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL kingdomcarellc.net Health Information Exchange (HIE)

National Provider Directory

National Provider Directory
Tax ID family
Kingdom Care Solutions LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1666310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780963200000",
    "number": "1902523822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3756",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296223756",
            "telephone_number": "864-221-1441",
            "fax_number": "864-686-5777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1434A W MARKET ST",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296241328",
            "telephone_number": "864-221-1441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY HOME CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-21",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "ADRAIN",
        "authorized_official_middle_name": "LETISHA",
        "authorized_official_title_or_position": "REGISTERED NURSE",
        "authorized_official_telephone_number": "864-735-0692",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1134866148",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "kingdomcarellc.net",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "website",
            "address_1": "1434A W Market St",
            "city": "Anderson",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296241328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Heavenly Home Care Services LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Kingdom Care Solutions, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Anderson, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; 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.