HEAVENLY HEALTHCARE AGENCY, INC. (NPI# 1326138397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326138397 |
| Entity Type | Organization |
| Organization Name | HEAVENLY HEALTHCARE AGENCY, INC. |
| Practice Address |
503 W Mcgee St Greensboro NC 27401-2702 |
| Practice Telephone | 3362300808 |
| Practice Fax Number | 3362300842 |
| Mailing Telephone | 3362300808 |
| Mailing Fax Number | 3362300842 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. ANTOINETTA D FULTON (OWNER) |
| Authorized Official Telephone | 3362300808 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 374U00000X | Home Health Aide | HC2337 | NC | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6600937 | 05 | |
| NC | 3409611 | 05 |
| Street Address |
503 W MCGEE ST |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27401-2702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891345765 | Selfless Foundation, Inc. | Clinic/Center | 503 W Mcgee St, Greensboro, NC 27401-2702 | 2019-09-12 |
| 1235383415 | New Horizons | Preferred Provider Organization | 503 W Mcgee St, Greensboro, NC 27401-2702 | 2008-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639779655 | Warfair Counseling, Consulting, & Supervision, Pllc | Counselor | 301 South Elm Street, Suite 801, Greensboro, NC 27401 | 2020-10-28 |
| 1225636848 | Alma Lucero Diaz | Registered Nurse | 1121 North Church St, Greensboro, NC 27401 | 2020-10-15 |
| 1447865217 | Rebecca Levy | Marriage & Family Therapist | Cone Health Family Medicine 1125 N Church Street, Greensboro, NC 27401 | 2020-09-09 |
| 1346854304 | Rayna's Home Care, LLC | Registered Nurse | 823 North Elm Street, Greensboro, NC 27401 | 2020-09-06 |
| 1316574718 | Garrett Green | Physician Assistant | 1121 N Church St., Greensboro, NC 27401 | 2020-03-25 |
| 1629635685 | Lauren Robinson Byrd | Anesthesiology | 1200 North Church St, Greensboro, NC 27401 | 2019-05-24 |
| 1285103069 | Shannon Marie Childs Meyerhoff | Occupational Therapist | Guilford County Schools Ec, 134 Franklin Blvd, Greensboro, NC 27401 | 2018-11-21 |
| 1194293241 | Ashley Marie Smith | Nurse Practitioner | 1200 North Elm St, Greensboro, NC 27401 | 2018-11-07 |
| 1285117762 | Anastazia Juszczak Gray | Speech-Language Pathologist | 1131 N. Church St, Greensboro, NC 27401 | 2018-09-11 |
| 1619474012 | Jamie Hannah Rose Aldridge | Psychiatry & Neurology | 1121 N Church Street, Greensboro, NC 27401 | 2018-04-11 |
| Find all providers in zip 27401 | ||||
| Taxonomy Code | 374U00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Home Health Aide |
| A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. |
| Notes: Source: 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 |
|---|---|---|---|---|
| 1801407168 | Franck Romual Kombou Sile | Home Health Aide | 3868 West Ave Apt E, Greensboro, NC 27407-4569 | 2020-08-11 |
| 1275154528 | Kirby Little | Home Health Aide | 4030 Battleground Ave Apt 3h, Greensboro, NC 27410-9771 | 2020-04-28 |
| 1235760141 | First One Choice Home Care Agency | Home Health Aide | 2 Centerview Dr Ste 52, Greensboro, NC 27407-3708 | 2020-01-29 |
| 1750929550 | Two Caring Hearts Home Care Services, LLC | Home Health Aide | 611 Summit Ave Ste 5, Greensboro, NC 27405-7746 | 2019-12-12 |
| 1841753449 | Stephon Dionte Wilkerson | Home Health Aide | 5030 Hilltop Rd Apt J, Greensboro, NC 27407-5255 | 2019-04-10 |
| 1720556483 | Michara Sedore | Home Health Aide | 3114 Kilkenny Ave, Greensboro, NC 27406-6709 | 2018-11-10 |
| 1760972434 | Ayana Linette Holland | Home Health Aide | 1417 Old Hickory Dr, Greensboro, NC 27405 | 2018-05-17 |
| 1750810156 | Ibrahim Koroma | Home Health Aide | 4907 Hickory Woods Dr, Greensboro, NC 27410 | 2017-06-08 |
| 1578966404 | Compassion Home Health | Home Health Aide | 1528 Lawndale Avenue, Greensboro, NC 27400-0415 | 2014-10-07 |
| 1497099626 | Gifty Selby | Home Health Aide | 2721 Ring Rd, Greensboro, NC 27405-5129 | 2012-11-10 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 27401 |
Please comment or provide details below to improve the information on HEAVENLY HEALTHCARE AGENCY, INC..
| 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.