HEAVENLY HOMECARE AGENCY, LLC (NPI# 1942711726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942711726 |
| Entity Type | Organization |
| Organization Name | HEAVENLY HOMECARE AGENCY, LLC |
| Practice Address |
3817 Cassandra Rd Randallstown MD 21133-3322 |
| Practice Telephone | 3479982976 |
| Practice Fax Number | 4106305024 |
| Mailing Telephone | 3479982976 |
| Mailing Fax Number | 4106305024 |
| Enumeration Date | 2017-10-19 |
| Last Update Date | 2017-10-19 |
| Authorized Official Name | DONNETTE K LEE (OWNER) |
| Authorized Official Telephone | 3479982976 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| Street Address |
3817 CASSANDRA RD |
| City | RANDALLSTOWN |
| State | MD |
| Zip Code | 21133-3322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649898313 | Olivia David | Registered Nurse | 3525 Liberty Resource Drive, Randallstown, MD 21133 | 2020-07-09 |
| 1366082547 | Jerry Njomgert Christopher | Home Health Aide | 9106 Sandra Ct. Randallstown, Randallstown, MD 21133 | 2020-01-15 |
| 1487138913 | For Hope's Sake, LLC | Substance Abuse Rehabilitation Facility | 9905 Southhall Road, Randallstown, MD 21133 | 2018-09-20 |
| 1295214393 | Levindale Hebrew Geriatric Center & Hospital Inc | Clinic/Center | Lifebridge Health Adult Day Services, 5400 Old Court Road, Randallstown, MD 21133 | 2018-08-09 |
| 1235623968 | Away of Change Counseling Service, LLC | Counselor | 5310 Old Court Rd Ste 304, Randallstown, MD 21133 | 2018-06-16 |
| 1922503382 | Top Care Residential Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8607 Liberty Rd, Randallstown, MD 21133 | 2018-03-28 |
| 1497274880 | Yushika M Shepherd | In Home Supportive Care | 8911 Allenswood Rd, Randallstown, MD 21133 | 2017-09-17 |
| 1790208718 | Productive Lives Mental Health, LLC | Clinic/Center | Randallstown Medical Center 5310 Old Court Rd Suite 308, Randallstown, MD 21133 | 2017-07-21 |
| 1982136198 | Marla Rosanne Yee | Dentist | 5415 Old Court Road, Suite 01, Randallstown, MD 21133 | 2017-03-28 |
| 1598203549 | Traci Harris | Social Worker | 9633 Liberty Rd. (suites H&j), Randallstown, MD 21133 | 2017-02-09 |
| Find all providers in zip 21133 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366056756 | Caringplus Healthcare Services Inc. | In Home Supportive Care | 9535 Wesland Cir, Randallstown, MD 21133-2040 | 2020-09-02 |
| 1811551187 | Mercy Care Inc. | In Home Supportive Care | 8515 Charlton Rd, Randallstown, MD 21133-4637 | 2019-04-23 |
| 1568946804 | Comfort First Home Care | In Home Supportive Care | 8905 Allenswood Rd, Randallstown, MD 21133-4113 | 2018-09-22 |
| 1457850133 | Luvlyeyiz Home Health Care | In Home Supportive Care | 3908 Amy Ln # 2b, Randallstown, MD 21133-3610 | 2018-02-07 |
| 1497274880 | Yushika M Shepherd | In Home Supportive Care | 8911 Allenswood Rd, Randallstown, MD 21133 | 2017-09-17 |
| 1477930535 | Delight Health Care Services,llc | In Home Supportive Care | 3823 Brenbrook Dr, Randallstown, MD 21133-4157 | 2015-04-28 |
| 1598076549 | Ambrose Young In Home Non-medical Services Dba Comforcare | In Home Supportive Care | 9932 Liberty Rd, Randallstown, MD 21133-1804 | 2010-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184475 | Spectra International | In Home Supportive Care | 10145 Deep Skies Dr, Laurel, MD 20723-5781 | 2020-11-08 |
| 1568063337 | Rapid Heartbeatllc | In Home Supportive Care | 3200 Reisterstown Rd Ste B, Baltimore, MD 21215-8064 | 2020-11-06 |
| 1558962761 | Altimax Home Care, LLC | In Home Supportive Care | 2141 Huntingdon Ave, Baltimore, MD 21211-3210 | 2020-11-04 |
| 1962002808 | Kirosa Company | In Home Supportive Care | 729 E Fort Ave, Baltimore, MD 21230-4724 | 2020-10-29 |
| 1770182115 | Emmanuel Home Health Services, Inc. | In Home Supportive Care | 8174 Lark Brown Rd Ste 201, Elkridge, MD 21075-6426 | 2020-10-17 |
| 1891301115 | Trusted Homecare LLC | In Home Supportive Care | 11215 Oak Leaf Dr Apt 915, Silver Spring, MD 20901-1372 | 2020-09-22 |
| 1033724786 | Life Force for Older Americans, Inc. | In Home Supportive Care | 1869 Hawk Court, Severn, MD 21144 | 2020-09-10 |
| 1851905848 | Lafra Chanel Lee | In Home Supportive Care | 29079 Raven Ct, Salisbury, MD 21801-1115 | 2020-09-07 |
| 1841804937 | Friends2family Home Care Support LLC | In Home Supportive Care | 10005 Mill Centre Dr Apt 272, Owings Mills, MD 21117-3015 | 2020-09-04 |
| 1417568171 | A New Walk of Life Health Care Agency LLC | In Home Supportive Care | 2110 Graythorn Rd, Middle River, MD 21220-4929 | 2020-08-14 |
| Find all providers with the same taxonomy | ||||
| City | RANDALLSTOWN |
| Zip Code | 21133 |
Please comment or provide details below to improve the information on HEAVENLY HOMECARE AGENCY, LLC.
| 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.