HEAVENLY HOMECARE & HOSPICE LLC (NPI# 1063765527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063765527 |
| Entity Type | Organization |
| Organization Name | HEAVENLY HOMECARE & HOSPICE LLC |
| Other Organization Name | HEAVENLY HOMECARE & HOSPICE LLC |
| Practice Address |
109 Fawnwood Dr Brandon MS 39042-4001 |
| Practice Telephone | 6015066839 |
| Enumeration Date | 2012-10-22 |
| Last Update Date | 2012-10-22 |
| Authorized Official Name | MS. PAMELA TURNER (OWNER) |
| Authorized Official Telephone | 6015066839 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251E00000X | Home Health | Agencies | ||
| N | 253Z00000X | In Home Supportive Care | Agencies | ||
| Y | 163W00000X | Registered Nurse | Nursing Service Providers |
| Other Name | Type Code |
|---|---|
| Heavenly Homecare & Hospice LLC | Doing Business As Name - Organization |
| Street Address |
109 FAWNWOOD DR |
| City | BRANDON |
| State | MS |
| Zip Code | 39042-4001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871808725 | Pamela Turner | Registered Nurse | 109 Fawnwood Dr, Brandon, MS 39042-4001 | 2010-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740821529 | Claudia Francis Jones | Technician | 1008 Greenfield Circle, Brandon, MS 39042 | 2019-10-03 |
| 1194294546 | Allen Keith Johnson Jr. | Counselor | 1700 West Government Street Building B. Suite O., Brandon, MS 39042 | 2018-11-15 |
| 1689167462 | Regional Home Care and Infusions, Inc. | Registered Nurse | 302 Town Square, Suite 110, Brandon, MS 39042 | 2018-06-07 |
| 1013419563 | Brandon Family Chiropractic LLC | Chiropractor | 1350 West Government Street Suite A1, Brandon, MS 39042 | 2018-03-01 |
| 1184146789 | Lakeland Home Program LLC | Clinic/Center | 209 Mar Lyn Dr, Brandon, MS 39042 | 2017-07-14 |
| 1104275510 | Matthew Logue | Community Health Worker | 2009 Mossy Cove, Brandon, MS 39042 | 2016-06-07 |
| 1932569704 | Haley Wilson | Chiropractor | 1350 W Government St Ste A1, Brandon, MS 39042 | 2016-03-07 |
| 1548698608 | St Dominic Medical Associates LLC | Family Medicine | 1297 West Government Street, Brandon, MS 39042 | 2013-10-28 |
| 1760825434 | Linda J. Bridges | Respiratory Therapist, Certified | 330 Rankin Road, Brandon, UNITED STATES 39042 | 2013-04-12 |
| 1861739922 | Georgia Christine Shirley | Nurse Practitioner | 2008 Brookstone Place, Brandon, MS 39042 | 2013-01-09 |
| Find all providers in zip 39042 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568019784 | Juarez Brown Emerson | Registered Nurse | 426 Pinebrook Circle, Brandon, MS 39047 | 2019-08-22 |
| 1407415540 | Christine Jean-leon | Registered Nurse | 1111 Oakfield Dr Ste. 115a, Brandon, FL 33511-4930 | 2019-06-12 |
| 1730605767 | Betty Wadley | Registered Nurse | 1951 Grand Isle Drive, Brandon, FL 33511 | 2017-08-22 |
| 1083163414 | Daniel Mcdonald | Registered Nurse | 1204 Crossview Ct, Brandon, MS 39042-7284 | 2016-09-27 |
| 1386006807 | Abraham Borje | Registered Nurse | 2542 Edgewater Falls Dr, Brandon, FL 33511-2295 | 2016-03-23 |
| 1316290935 | Verlencia R Myers | Registered Nurse | 102 Amethyst Ln, Brandon, MS 39047-6375 | 2012-10-19 |
| 1205191343 | William Bruce Guy II | Registered Nurse | 204 Peachtree St, Brandon, MS 39042-8121 | 2012-07-04 |
| 1619275161 | Lydia Richards Thomas | Registered Nurse | 1211 Bates St, Brandon, FL 33510 | 2011-03-08 |
| 1154621688 | Bourne Chidi Ajoku | Registered Nurse | 2303 Bell Shoals Rd, Brandon, FL 33511-6608 | 2010-11-01 |
| 1871808725 | Pamela Turner | Registered Nurse | 109 Fawnwood Dr, Brandon, MS 39042-4001 | 2010-08-16 |
| Find all providers in BRANDON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.