HEAVENLY HOME LLC (NPI# 1629536305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629536305 |
| Entity Type | Organization |
| Organization Name | HEAVENLY HOME LLC |
| Practice Address |
2403 Village Stone Ct Katy TX 77493-1476 |
| Practice Telephone | 2819951235 |
| Mailing Telephone | 2819951235 |
| Enumeration Date | 2019-03-12 |
| Last Update Date | 2019-03-12 |
| Authorized Official Name | CHRISTIANA OSE AMODU (PROGRAM DIRCETOR) |
| Authorized Official Telephone | 2819951235 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Heavenly Home LLC | Doing Business As Name - Organization |
| Street Address |
2403 VILLAGE STONE CT |
| City | KATY |
| State | TX |
| Zip Code | 77493-1476 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184238826 | Bright Stone Psychiatry | Nurse Practitioner | 6923 Twilight Elm Tree, Katy, TX 77493 | 2020-09-01 |
| 1265053383 | Ks Pharm, LLC | Pharmacy | 2510 West Grand Parkway North, Katy, TX 77493 | 2020-04-29 |
| 1033758313 | Katy Hospice, LLC | Hospice Care, Community Based | 6005 Franz Court, Katy, TX 77493 | 2020-01-03 |
| 1538661004 | Cynthia Sipperly | Speech-Language Pathologist | 1736 Katyland Drive, Katy, TX 77493 | 2018-03-01 |
| 1346763059 | Lella Bennett | Home Health Aide | 24011 Pepperrell Place, Katy, TX 77493 | 2017-07-25 |
| 1871028886 | Kristopher Oroz Dds, Pllc | Dentist | 23053 Clay Road, Suite 600, Katy, TX 77493 | 2017-04-27 |
| 1780121509 | Greater Houston Pediatric Dentistry Katy Pllc | Dentist | 2722 W. Grand Parkway North, #160, Katy, TX 77493 | 2017-01-31 |
| 1508316514 | Katy Long Term Care LLC | Skilled Nursing Facility | 25032 Lakecrest Manor Drive, Katy, TX 77493 | 2016-10-13 |
| 1992161996 | Cindy Lin | Physician Assistant | 1331 W Grand Pkwy N Ste 130, Katy, TX 77493 | 2016-01-06 |
| 1841666351 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 24950 Franz Rd, Katy, TX 77493 | 2015-08-19 |
| Find all providers in zip 77493 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558987198 | Amlad LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 20622 Ginger Hill Ln, Katy, TX 77449-1406 | 2020-06-19 |
| 1073172623 | Angels Life Skills Center, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 20829 Kingsland Blvd Ste D, Katy, TX 77450-2713 | 2019-06-07 |
| 1922663178 | Deloris N Ibe | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4519 Capella Riviera Dr, Katy, TX 77493-3321 | 2019-05-03 |
| 1538621156 | Agape Individuality Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19130 Cotton Gin Dr, Katy, TX 77449-5249 | 2019-04-02 |
| 1144788555 | Alice Lane | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6855 S Mason Rd Apt 1108, Katy, TX 77450-1233 | 2019-03-05 |
| 1891211181 | Authentic Adorable Community LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2707 Defoe Dr, Katy, TX 77449 | 2017-08-17 |
| 1164851903 | Emerging Medical Solutions Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 24907 Spring Aspen Ct, Katy, TX 77494-6439 | 2013-11-02 |
| 1801138086 | Rhema Living Center Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6707 Wide Creek Dr, Katy, TX 77449-6373 | 2013-03-26 |
| 1942540331 | Jovic Care Group Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 24906 Lodenstone Ct, Katy, TX 77494 | 2013-02-21 |
| 1639436678 | Institute of Dynamic Behavior | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3119 Mulberry Ranch Drive, Katy, TX 77494-3620 | 2012-04-16 |
| Find all providers in KATY | ||||
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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.