HEAVEN SENT HOME HEALTH SYSTEMS (NPI# 1407386071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407386071 |
| Entity Type | Organization |
| Organization Name | HEAVEN SENT HOME HEALTH SYSTEMS |
| Other Organization Name | HEAVEN SENT HOME HEALTH SYSTEMS |
| Practice Address |
2015 W Western Ave Ste 132 South Bend IN 46619-3561 |
| Practice Telephone | (574) 229-8749 |
| Practice Fax Number | 5748551915 |
| Mailing Telephone | 5742298749 |
| Mailing Fax Number | 5748551915 |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2017-06-15 |
| Authorized Official Name | MRS. WANDA S BETANCOURT (OWNER) |
| Authorized Official Telephone | 5742298749 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WC1500X |
Registered Nurse Specialization: Community Health |
14-014155-1 | IN | Nursing Service Providers |
| N | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
14-014155-1 | IN | Nursing Service Providers |
| N | 163WH0200X |
Registered Nurse Specialization: Home Health |
14-014155-1 | IN | Nursing Service Providers |
| N | 163WH0200X |
Registered Nurse Specialization: Home Health |
28217649A | IN | Nursing Service Providers |
| N | 163WI0500X |
Registered Nurse Specialization: Infusion Therapy |
14-014155-1 | IN | Nursing Service Providers |
| N | 163WI0600X |
Registered Nurse Specialization: Infection Control |
14-014155- | IN | Nursing Service Providers |
| N | 163WW0000X |
Registered Nurse Specialization: Wound Care |
14-014155-1 | IN | Nursing Service Providers |
| N | 164W00000X | Licensed Practical Nurse | 14-014155- | IN | Nursing Service Providers |
| N | 372600000X | Adult Companion | 14-014155-1 | IN | Nursing Service Related Providers |
| N | 374U00000X | Home Health Aide | 14-014155-1 | IN | Nursing Service Related Providers |
| N | 376J00000X | Homemaker | 14-014155- | IN | Nursing Service Related Providers |
| N | 376K00000X | Nurse's Aide | 14-014155- | IN | Nursing Service Related Providers |
| Y | 163W00000X | Registered Nurse | 14-014155- | IN | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | INDIANA STATE DEPARTMENT OF HEALTH | 14-014155-1 | 01 |
| Other Name | Type Code |
|---|---|
| Heaven Sent Home Health Systems | Doing Business As Name - Organization |
| Street Address |
2015 W WESTERN AVE STE 132 |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46619-3561 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740637370 | Wanda Socorro Betancourt Rivera | Registered Nurse | 2015 W Western Ave Ste 132, South Bend, IN 46619-3561 | 2016-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578015103 | Martin's Super Markets, Inc. | Pharmacy | 525 S. Mayflower Rd, South Bend, IN 46619 | 2016-10-31 |
| 1124449053 | Sandra J Jackson | Counselor | 4218 Western Ave., South Bend, IN 46619 | 2013-12-19 |
| 1902227911 | Patricia Ann Miller | Counselor | 4218 Western Ave, South Bend, IN 46619 | 2013-12-17 |
| 1740611953 | Cynthia G. Finney | Counselor | 4218 Western Avenue, So Bend, IN 46619 | 2013-12-13 |
| 1437433406 | Angela Nicole Zolvinski | Pharmacist | 4444 W. Western Ave, South Bend, IN 46619 | 2011-10-07 |
| 1871674556 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 4600 W Washington St, South Bend, IN 46619 | 2006-10-18 |
| 1942302203 | April Holtgren | Family Medicine | 1901 #b Western Ave, South Bend, IN 46619 | 2006-09-05 |
| 1447737002 | Graciela Jimenez-martinez | Registered Nurse | 1901 #b Western Avenue, South Bend, IN 46619 | 2018-07-25 |
| 1821397878 | Wright Dream | In Home Supportive Care | 706 S Sheridan St, South Bend, IN 46619 | 2011-03-16 |
| 1740439223 | Scott J. Vanslambrouck | Dentist | 1901 #b Western Avenue, Ihc South Bend, South Bend, IN 46619 | 2008-09-09 |
| Find all providers in zip 46619 | ||||
| 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 |
|---|---|---|---|---|
| 1891394052 | Mildred Lozada Johnson | Registered Nurse | 1005 Bellevue Ave, South Bend, IN 46615-1412 | 2020-10-20 |
| 1346742095 | Susan Njoroge | Registered Nurse | 1315 Southlea Dr, South Bend, IN 46628-3827 | 2018-03-08 |
| 1437651106 | Lori Craig Ashley | Registered Nurse | 1216 W Robert Bush Drive, South Bend, WA 98586 | 2018-03-08 |
| 1740637370 | Wanda Socorro Betancourt Rivera | Registered Nurse | 2015 W Western Ave Ste 132, South Bend, IN 46619-3561 | 2016-05-24 |
| 1861897688 | Michelle Jean Streb | Registered Nurse | 1960 Northside Boulevard, South Bend, IN 46615 | 2014-10-23 |
| 1114335007 | April Ehardt | Registered Nurse | 210 S Michigan St, Suite 110, South Bend, IN 46601-2094 | 2014-07-24 |
| 1306117882 | Lauren Jean White | Registered Nurse | 615 N Michigan St Fl 6, South Bend, IN 46601-1033 | 2012-01-16 |
| 1073822516 | South Bend Ergonomics, LLC | Registered Nurse | 4121 Kennedy Dr, South Bend, IN 46614-2819 | 2010-10-01 |
| 1033430947 | Maria Macri | Registered Nurse | 19299 Edinburgh Dr, South Bend, IN 46614-5865 | 2010-06-15 |
| 1326378688 | Ann Marie Papczynski | Registered Nurse | 1901b W Western Ave, South Bend, IN 46619-3521 | 2010-01-10 |
| Find all providers in SOUTH BEND | ||||
| City | SOUTH BEND |
| Zip Code | 46619 |
Please comment or provide details below to improve the information on HEAVEN SENT HOME HEALTH SYSTEMS.
| 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.