HEAVENLY PROVIDERS, LLC


Address: 1071 William St, Bridgeport, CT 06608
Phone: 2038927291

HEAVENLY PROVIDERS, LLC (NPI# 1285092346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285092346
Entity Type Organization
Organization Name HEAVENLY PROVIDERS, LLC
Practice Address 1071 William St
Bridgeport
CT 06608
Mailing Address 1071 William St
Bridgeport
CT 06608-1037
Practice Telephone 2038927291
Practice Fax Number 2032962474
Mailing Telephone 2038927291
Mailing Fax Number 2032962474
Enumeration Date 2016-02-04
Last Update Date 2016-02-04
Authorized Official Name MISS JESSICA VERONICA CARRION (OWNER)
Authorized Official Telephone 2038927291
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251E00000X Home Health HCA0000981 CT Agencies

Other Data Sources

Entity Type Entity Name Entity Address
Connecticut Business Registrations Heavenly Providers, LLC 1071 William St, Bridgeport, CT 06608

Office Location

Street Address 1071 WILLIAM ST
City BRIDGEPORT
State CT
Zip Code 06608

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184193591 Full Circle Youth Empowerment Community/Behavioral Health 583-585 East Main Street, Bridgeport, CT 06608 2018-11-14
1225548332 Vicarah, LLC Home Health 941 East Main Street, Bridgeport, CT 06608 2017-10-03
1659590131 Annette Tirado Social Worker 982 East Main St, Bridgeport, CT 06608 2007-04-24
1629023536 Brenda I Kulikowski Midwife 982 East Main Street, Optimus Health Care, Bridgeport, CT 06608 2006-05-23
1043695588 Kirithika Mohanathaas Internal Medicine 471 Barnum Ave, Bridgeport, CT 06608 2015-07-27
1871749937 Michele J Feinberg Psychiatry & Neurology 982 E Main St, Bridgeport, CT 06608 2008-08-08
1023225646 Regional Network of Programs, Inc. Community Based Residential Treatment Facility, Mental Illness 74 Huntington Rd, Bridgeport, CT 06608-1006 2007-05-16
1295013910 Lorraine Dionne Brooks-williams Registered Nurse 100 Putnam St, Ph, Bridgeport, CT 06608-1045 2011-07-29
1558480673 City of Bridgeport Health Dept. Clinic/Center 479 Helen St, Bridgeport, CT 06608-1321 2007-03-28
1568795094 Kelly M Bucci-didomenico Nurse Practitioner 479 Helen St, Bridgeport, CT 06608-1321 2009-09-16
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Taxonomy Information

Taxonomy Code 251E00000X
Grouping Agencies
Classification Home Health

Taxonomy Definition

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306479084 Colleen Morrison Campbell Home Health 126 Red Oak Rd, Bridgeport, CT 06606-1429 2020-02-20
1689225690 Believe In You Care LLC Home Health 197 Burnsford Ave, Bridgeport, CT 06606-3443 2019-09-23
1205490489 Erika Mireya Chiluisa Home Health 136 Savoy St, Bridgeport, CT 06606-4116 2019-04-23
1164992723 Connecticut Executive Caregivers LLC Home Health 800 Union Ave., Bridgeport, CT 06607 2018-11-27
1487153375 Fe Y Esperanza Home Care Services Home Health 2032 Main Street, Bridgeport, CT 06604 2018-02-06
1225548332 Vicarah, LLC Home Health 941 East Main Street, Bridgeport, CT 06608 2017-10-03
1134655939 Sweet Home Care LLC Home Health 860 Clinton Ave, Bridgeport, CT 06604-2303 2017-05-11
1205362878 Hudson Home Healthcare Svcs LLC Home Health 341 Beechmont Ave, Bridgeport, CT 06606-3701 2017-05-02
1518316009 Care Gurus LLC Home Health 325 Texas Ave, Bridgeport, CT 06610-1856 2016-06-06
1942658968 Angelica Ogunjobi Home Health 210 Washington Ave, Apt 217, Bridgeport, CT 06604-3806 2016-05-31
Find all providers in BRIDGEPORT

Competitor

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City BRIDGEPORT
Zip Code 06608

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Dataset Information

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.

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