HEAVENLY HEALTHCARE AGENCY INC (NPI# 1912168568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912168568 |
| Entity Type | Organization |
| Organization Name | HEAVENLY HEALTHCARE AGENCY INC |
| Practice Address |
110 Exchange St Suite I Danville VA 24541 |
| Mailing Address |
Po Box 13531 Greensboro NC 27415-3531 |
| Practice Telephone | 4347995378 |
| Practice Fax Number | 4347995379 |
| Mailing Telephone | 3362300808 |
| Mailing Fax Number | 3362300842 |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2008-06-17 |
| Authorized Official Name | MISS ANTOINETTA D FULTON (ADMINISTRATOR DIRECTOR) |
| Authorized Official Telephone | 3362300808 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
HC2337 | NC | Nursing Service Related Providers |
| Street Address |
110 EXCHANGE ST SUITE I |
| City | DANVILLE |
| State | VA |
| Zip Code | 24541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437152865 | William E Hickson Jr. | Internal Medicine | 110 Exchange St, Ste F, Danville, VA 24541-3500 | 2005-05-31 |
| 1043525918 | Centra Health Professional Services, LLC | Family Medicine | 110 Exchange St, Suite F, Danville, VA 24541-3500 | 2010-08-16 |
| 1669450250 | Wendy L Barker | Nurse Practitioner | 110 Exchange St, Danville, VA 24541-3500 | 2006-01-04 |
| 1275536567 | James T. Milam | Family Medicine | 110 Exchange St, Ste F, Danville, VA 24541-3500 | 2005-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104303551 | Damon Lee Simpson | Occupational Therapy Assistant | 1616 Maple Dr, Danville, VA 24541 | 2018-07-27 |
| 1578065041 | Strategic Therapy Associates, Inc. | Transportation Broker | 1225 W Main Street, Danville, VA 24541 | 2018-03-01 |
| 1790291078 | Vicente T Falgui Md PC | Internal Medicine | 990 Main Street, Suite 204, Danville, VT 24541 | 2017-12-21 |
| 1558884270 | Focus Point Mental Health, LLC | Community/Behavioral Health | 116 Magnolia Drive, Danville, VA 24541 | 2017-07-25 |
| 1073045522 | Brittney Paige Throckmorton-samples | Physical Therapist | 174 Executive Drive, Danville, VA 24541 | 2017-04-03 |
| 1114378106 | Laurie Rich Taylor | Nurse Practitioner | 541 Bridge Street, Suite 1, Danville, VA 24541 | 2016-06-30 |
| 1285085779 | Larry Keller | Counselor | 1555 Meadowview Dr Ste 5, Danville, VA 24541 | 2016-06-25 |
| 1952617474 | Joshua Home Family Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 223 Randolph Street, Danville, VA 24541 | 2010-08-21 |
| 1922274661 | Blankenship & Davis Opticians Inc | Eyewear Supplier (Equipment, not the service) | 625 West Main Street, Danville, VA 24541 | 2008-05-02 |
| 1750588307 | Tiffany Devon Clark | Physical Therapy Assistant | 432 Hermitage Dr., Danville, VA 24541 | 2007-06-28 |
| Find all providers in zip 24541 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659970473 | Jadrian Faith Linville | Technician | 168 Thurmond St, Danville, WV 25053 | 2020-10-22 |
| 1649877143 | Angela Marie Robinson | Technician | 101 Plum St, Danville, OH 43014-9654 | 2020-10-07 |
| 1811594641 | Angela Suzanne Adkins | Technician | 54 Meadow Dr, Danville, WV 25053-8146 | 2020-10-05 |
| 1154932788 | Kariann Merieda Kuhn | Technician | 97 Rex St, Danville, WV 25053 | 2020-08-17 |
| 1215548284 | Pauline Bell | Technician | 43 Elyse Ln, Danville, WV 25053 | 2020-08-13 |
| 1619586211 | Kristin Nicole Koch | Technician | 5213 Price Branch Road, Danville, WV 25053-2505 | 2020-07-29 |
| 1891328035 | Melissa Ann Rader | Technician | 2778 Big Branch Rd, Danville, WV 25053-7981 | 2020-02-17 |
| 1780103044 | Jacqueline Crisco | Technician | 292 Guilford St, Danville, VA 24540-2243 | 2017-09-18 |
| 1215537147 | Ollie Hensley | Technician | 163 Prichard Rd, Danville, WV 25053-6891 | 2020-10-29 |
| 1922607993 | Janie Halstead | Technician | 163 Prichard Rd, Danville, WV 25053-6891 | 2020-10-21 |
| Find all providers in DANVILLE | ||||
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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.