HEAVENLY HOME HEALTH AGENCY (NPI# 1558745158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558745158 |
| Entity Type | Organization |
| Organization Name | HEAVENLY HOME HEALTH AGENCY |
| Other Organization Name | HEAVENLY HOMECARE |
| Practice Address |
3761 Warrendale Rd South Euclid OH 44118-2317 |
| Mailing Address |
Po Box 181523 Cleveland Heights OH 44118-7523 |
| Practice Telephone | 2165030354 |
| Mailing Telephone | 2165030354 |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2015-07-13 |
| Authorized Official Name | MRS. MIA FRANCE (DIRECTOR) |
| Authorized Official Telephone | 2169789405 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 2245834 | OH | Agencies |
| Other Name | Type Code |
|---|---|
| Heavenly Homecare | Other Name - Individual/Organization |
| Street Address |
3761 WARRENDALE RD |
| City | SOUTH EUCLID |
| State | OH |
| Zip Code | 44118-2317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083237713 | Alison Marie Meehan | Counselor | 22001, Shaker Heights, OH 44118 | 2020-05-28 |
| 1437788593 | Tierra Banks | Community Health Worker | 3 Severance Circle #18618, Cleveland Heights, OH 44118 | 2020-04-02 |
| 1881220382 | Equillia Forte-mostella | Home Health Aide | 1629 Ivydale Rd, Cleveland Hts, OH 44118 | 2020-03-16 |
| 1225673080 | Karen Dames | Technician | 3260 Tullamore Rd., Cleveland Heights, OH 44118 | 2019-11-15 |
| 1285278325 | Vernessa Faye Jackson | Counselor | 22101 Fairmount Blvd, Shaker Heights, OH 44118 | 2019-11-01 |
| 1447814942 | Bluestone Child and Adolescent Psychiatric Hospital | Psychiatric Unit | 2575 S. Belvoir Blvd., University Heights, OH 44118 | 2019-04-30 |
| 1073009155 | Clarence Taylor | Counselor | 2490 Leeblvd, Cleveland, OH 44118 | 2018-07-02 |
| 1992290258 | Janet Spruill | Counselor | 2490 Lee Blvd Ste 107, Cleveland Heights, OH 44118 | 2018-06-28 |
| 1295229532 | Marcia Webster | Nurse's Aide | 3810 Grosvenor, South Euclid, OH 44118 | 2018-06-20 |
| 1508350067 | Adam M Oulton | Case Manager/Care Coordinator | 22001 Fairmont Boulevard, Shaker Heights, OH 44118 | 2018-06-19 |
| Find all providers in zip 44118 | ||||
| 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 |
|---|---|---|---|---|
| 1306451844 | Pamela Rodgers Rodgers | Home Health | 3806 Princeton Blvd, South Euclid, OH 44121-1928 | 2020-09-11 |
| 1548874357 | Sparks Special Needs People,llc | Home Health | 4217 Bluestone Rd, South Euclid, OH 44121-3427 | 2020-08-31 |
| 1275155707 | Renee Wanton | Home Health | 4098 Harwood Rd, South Euclid, OH 44121-2772 | 2020-05-06 |
| 1487274999 | Unity Home Health Services LLC | Home Health | 14055 Cedar Rd Ste 303, South Euclid, OH 44118-3333 | 2020-04-24 |
| 1790311173 | Renee Hawkins | Home Health | 3808 Warrendale Rd, South Euclid, OH 44118-2320 | 2020-03-18 |
| 1851926604 | Quantum Home Health Service LLC | Home Health | 14055 Cedar Rd Ste 302a, South Euclid, OH 44118-3333 | 2020-03-11 |
| 1245881390 | Hope Health Homecare LLC | Home Health | 4320 Mayfield Rd Ste 206, South Euclid, OH 44121-3601 | 2019-09-20 |
| 1952878209 | R.e. Pruitt Organization, Inc. | Home Health | 4425 Mayfield Rd Ste 4a, South Euclid, OH 44121-3619 | 2018-10-25 |
| 1447734611 | Nova Homecare Plus LLC | Home Health | 14055 Cedar Rd Ste 302, South Euclid, OH 44118-3333 | 2018-09-24 |
| 1194114777 | Dez'aray Hairston | Home Health | 3759 Salisbury Rd, South Euclid, OH 44121 | 2015-01-20 |
| Find all providers in SOUTH EUCLID | ||||
| City | SOUTH EUCLID |
| Zip Code | 44118 |
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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.