HEAVEN ON EARTH HOME HEALTH AGENCY INC (NPI# 1518117605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518117605 |
| Entity Type | Organization |
| Organization Name | HEAVEN ON EARTH HOME HEALTH AGENCY INC |
| Practice Address |
10729 Audelia Rd Suite 204 Dallas TX 75238-1002 |
| Practice Telephone | 9722003177 |
| Practice Fax Number | 9723252223 |
| Mailing Telephone | 9722003177 |
| Mailing Fax Number | 9723252223 |
| Enumeration Date | 2008-09-24 |
| Last Update Date | 2015-07-17 |
| Authorized Official Name | MARTIN MBOE (OWNER/ADMINISTATOR) |
| Authorized Official Telephone | 9722003177 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 012735 | TX | Agencies |
| Street Address |
10729 AUDELIA RD SUITE 204 |
| City | DALLAS |
| State | TX |
| Zip Code | 75238-1002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114151008 | Tipple Alliance Home Health Services, Inc. | Home Health | 10729 Audelia Rd, Suite # 210, Dallas, TX 75238-1002 | 2009-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205317286 | Felicia Youngblood | Physical Therapist | 8615 Lullwater Dri, Dallas, TX 75238 | 2018-08-27 |
| 1942704283 | Zoom Initiative Incorporated | Clinic/Center | 12959 Jupiter Rd., Suite 140, Dallas, TX 75238 | 2018-03-21 |
| 1104345321 | Lee M Fisher | Developmental Therapist | 10333 Mosscrest Dr, Dallas, TX 75238 | 2017-09-19 |
| 1548716848 | Zoom Health Services Inc | Nursing Care | 12959 Jupiter Road Suite 140, Dallas, TX 75238 | 2016-08-28 |
| 1356691489 | Dallas Emergency Physicians | General Acute Care Hospital | 11042 Wallbrook Dr., Dallas, TX 75238 | 2012-09-17 |
| 1285993477 | Legacy Dental of Mesquite Pllc | Dentist | 9208-b E. R.l. Thorton Expressway, #209-b, Dallas, TX 75238 | 2012-05-09 |
| 1316257710 | T-dental,p.c | Dentist | 9625 Plano Road, 100, Dallas, TX 75238 | 2010-10-19 |
| 1427286764 | Sarah Elizabeth Bryant | Dental Hygienist | 10405 East Northwest Highway, Suite #301, Dallas, TX 75238 | 2009-06-25 |
| 1285868448 | Cordial Care Home Health Services Inc | Home Health | 10935 Estate Lane Suite 182, Dallas, TX 75238 | 2009-05-04 |
| 1558514695 | Lisa Camille Simmons | Counselor | 12959 Jupiter Ln, Dallas, TX 75238 | 2008-11-03 |
| Find all providers in zip 75238 | ||||
| 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 |
|---|---|---|---|---|
| 1790383040 | Zarinda R Williams | Home Health | 6538 S Lancaster Rd, Dallas, TX 75241-3801 | 2020-10-09 |
| 1700490174 | Moye Healthcare | Home Health | 479 Shady Gln, Dallas, GA 30132-0516 | 2020-09-03 |
| 1215549084 | Alys-adele Conglomerate LLC | Home Health | 3319 Santa Teresa Ave, Dallas, TX 75228-3405 | 2020-08-21 |
| 1902415763 | Amedicus Home Health Inc. | Home Health | 9550 Forest Ln Ste 125, Dallas, TX 75243-5964 | 2020-07-28 |
| 1659998433 | Encompass Health Home Health of The Southwest, LLC | Home Health | 6688 N Central Expy Ste 1200, Dallas, TX 75206-3950 | 2020-06-29 |
| 1255957619 | Two Circles Home Health Care, Inc. | Home Health | 1908 Royal Ln Ste 350, Dallas, TX 75229-3128 | 2020-06-22 |
| 1154947034 | Reliable Optimum Services LLC | Home Health | 1068 Merchants Dr Apt 817, Dallas, GA 30132-2978 | 2020-06-17 |
| 1194340067 | Trilogy Health Care Nursing Care Next Door | Home Health | 103 Arbor Creek Way, Dallas, GA 30157-5569 | 2020-06-16 |
| 1861017071 | Zetis Health Services Inc. | Home Health | 5769 Belt Line Rd Apt 708, Dallas, TX 75254-7676 | 2020-06-12 |
| 1013531342 | Texas Care One Home Health LLC | Home Health | 9550 Forest Ln # 226, Dallas, TX 75243-5905 | 2020-06-02 |
| Find all providers in DALLAS | ||||
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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.