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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | HCA0000981 | CT | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | Heavenly Providers, LLC | 1071 William St, Bridgeport, CT 06608 |
| Street Address |
1071 WILLIAM ST |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06608 |
| 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 |
| Find all providers in zip 06608 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| 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] |
| 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 | ||||
| City | BRIDGEPORT |
| Zip Code | 06608 |
Please comment or provide details below to improve the information on HEAVENLY PROVIDERS, LLC.
| 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.