HEAVENLY HOME CARE, LLC (NPI# 1376182667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376182667 |
| Entity Type | Organization |
| Organization Name | HEAVENLY HOME CARE, LLC |
| Practice Address |
70 Birch Aly Ste 240202 Beavercreek OH 45440-1479 |
| Practice Telephone | 9373066324 |
| Mailing Telephone | 9373066324 |
| Enumeration Date | 2020-01-03 |
| Last Update Date | 2020-01-03 |
| Authorized Official Name | KARINA GAVALCINOVA (OWNER) |
| Authorized Official Telephone | 9373066324 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | HEAVENLY HOME CARE, LLC | 242 Lincoln Street, 2nd Floor, Waterbury, CT 06710 |
| New York State Corporations | HEAVENLY HOME CARE, LLC | 216 A Central Ave, Bohemia, New York 11716 |
| Street Address |
70 BIRCH ALY STE 240202 |
| City | BEAVERCREEK |
| State | OH |
| Zip Code | 45440-1479 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427657568 | Jason Michael Knippen | Pharmacist | 5400 Cornerstone, Centerville, OH 45440 | 2020-10-20 |
| 1184222564 | Kimberly Downs | Pharmacist | 5400 North Cornerstone Blvd, Centerville, OH 45440 | 2020-10-16 |
| 1659902153 | Caryn Hoffman | Pharmacist | 5400 Cornerstone Blvd, Centerville, OH 45440 | 2020-02-03 |
| 1023673100 | Katren Elizabeth Clark | Psychologist | 70 Birch Alley, Suite 240, Dayton, OH 45440 | 2019-05-05 |
| 1649784737 | Amy Lynn Winstead | Dietitian, Registered | 5721 Bigger Road, Kettering, OH 45440 | 2017-11-28 |
| 1104245455 | Aprscp, Inc. | Hearing Instrument Specialist | 3341 East Stroop Road, Kettering, OH 45440 | 2014-04-15 |
| 1457601858 | Victoria L Saylor | Pharmacy Technician | 4480 Indianripple Rd, Dayton, OH 45440 | 2012-09-12 |
| 1528368644 | Sara Jankowski | Art Therapist | 5178 Scarsdale Dr., Kettering, OH 45440 | 2010-10-22 |
| 1356651012 | Senior Options Group | Home Health | 4025 Marshall Road, Kettering, OH 45440 | 2010-10-15 |
| 1417106345 | Sheenu Goel | Dentist | 4235 Indian Ripple Rd., Suite 200a, Dayton, OH 45440 | 2008-09-16 |
| Find all providers in zip 45440 | ||||
| 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 |
|---|---|---|---|---|
| 1598366387 | Yvonne Zachery | In Home Supportive Care | 2830 Lacresta Dr., Beavercreek, OH 45431-8909 | 2020-11-06 |
| 1306444245 | Charles Rolland Williams | In Home Supportive Care | 1716 Edith Marie Dr, Beavercreek, OH 45431-3380 | 2020-10-13 |
| 1770180143 | Jack Douglas Lemke | In Home Supportive Care | 3597 Eastern Dr, Beavercreek, OH 45432-2205 | 2020-10-07 |
| 1942815477 | Songlin Cheng | In Home Supportive Care | 542 Towncrest Dr, Beavercreek, OH 45434-5860 | 2020-09-11 |
| 1073909602 | Enginuit Design Ltd | In Home Supportive Care | 4114 Mapleview Dr, Beavercreek, OH 45432-1920 | 2015-04-10 |
| 1467787465 | Daugwood, Inc | In Home Supportive Care | 3183 Beaver Vu Dr, Suite B, Beavercreek, OH 45434-6398 | 2009-10-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861453 | Mary Diane Miller | In Home Supportive Care | 16850 Highland Ave, Caldwell, OH 43724-9655 | 2020-11-06 |
| 1366043143 | Susan Ann Williams | In Home Supportive Care | 3730 Bean Oller Rd, Delaware, OH 43015-9283 | 2020-11-06 |
| 1619578796 | Cindy Jo Alwine | In Home Supportive Care | 452 Woodland Dr, Shadyside, OH 43947-1199 | 2020-11-04 |
| 1194326272 | Margaret Engelhard | In Home Supportive Care | 8773 Creekwood Dr, Maineville, OH 45039-8206 | 2020-11-04 |
| 1154922532 | Rita Ann Beck | In Home Supportive Care | 212 Harbel Dr, Saint Clairsville, OH 43950-1043 | 2020-11-03 |
| 1588265888 | Michelle Yvonne Low | In Home Supportive Care | 774 Humble Rd, Tallmadge, OH 44278-3133 | 2020-11-03 |
| 1740881002 | Laurie Ann Galownia | In Home Supportive Care | 146 N Sugar St, Saint Clairsville, OH 43950-1328 | 2020-11-03 |
| 1649871096 | Martha Jane Nix | In Home Supportive Care | 464 Oxford Ave, Akron, OH 44310-3354 | 2020-11-03 |
| 1316548829 | Raquel Covington | In Home Supportive Care | 1629 Greenlawn Ave, Akron, OH 44301-2743 | 2020-11-03 |
| 1942801360 | Arlene Pfaff | In Home Supportive Care | 1761 Thornapple Ave, Akron, OH 44301-2633 | 2020-11-03 |
| Find all providers with the same taxonomy | ||||
| City | BEAVERCREEK |
| Zip Code | 45440 |
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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.