HEAVENLY ANGELS HOME CARE (NPI# 1679875710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679875710 |
| Entity Type | Organization |
| Organization Name | HEAVENLY ANGELS HOME CARE |
| Practice Address |
4709 Mount Abernathy Ave San Diego CA 92117-3340 |
| Practice Telephone | 8584447904 |
| Practice Fax Number | 8582782093 |
| Mailing Telephone | 8584447904 |
| Mailing Fax Number | 8582782093 |
| Enumeration Date | 2010-11-22 |
| Last Update Date | 2010-11-22 |
| Authorized Official Name | MS. JENNIFER LYNN DE LOS REYES (OWNER-PRESIDENT) |
| Authorized Official Telephone | 8584447094 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | B2010022157 | CA | Agencies |
| N | 251J00000X | Nursing Care | B2010022157 | CA | Agencies |
| N | 253Z00000X | In Home Supportive Care | B2010022157 | CA | Agencies |
| Y | 251E00000X | Home Health | B2010022157 | CA | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962758896 | Heavenly Angels Home Care | In Home Supportive Care | 906 20th Ave, #117, Meridian, MS 39301-5153 | 2012-07-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | HEAVENLY ANGELS HOME CARE LLC | 24 Valley Broook Road, West Haven, CT 06519 |
| Street Address |
4709 MOUNT ABERNATHY AVE |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92117-3340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154956050 | Enbara Corporation | Dentist | 5189 Clairmont Mesa Blvd, San Diego, CA 92117 | 2020-03-11 |
| 1568956050 | Lourdes C Villagran | Case Manager/Care Coordinator | 4474 Charger Blvd, San Diego, CA 92117 | 2018-06-18 |
| 1750893509 | Dzendzel Family Chiropractic | Chiropractor | 3650 Clairemont Drive, Ste 2, San Diego, CA 92117 | 2017-11-02 |
| 1205355401 | Alan Ford | Counselor | 4150 Ute Dr., San Diego, CA 92117 | 2017-09-19 |
| 1780101238 | Allison Dawn Heeney | Occupational Therapist | 3386 Hopi Place, San Diego, CA 92117 | 2017-08-25 |
| 1275074379 | Rachel Gabrielle Packer | Counselor | 5252 Balboa Ave Ste 801, San Diego, CA 92117 | 2017-03-09 |
| 1316482995 | Lisa Graff-marsh, Inc. | Social Worker | 4985 Park Rim Dr., San Diego, CA 92117 | 2017-01-05 |
| 1417408949 | Markos and Markos 1 Inc | Private Vehicle | 4495 Clairemont Mesa Blvd, San Diego, CA 92117 | 2016-10-19 |
| 1801341813 | Huynh and Habashi Dental Corporation | Dentist | 2995 Clairemont Dr, Suite A, San Diego, CA 92117 | 2016-08-19 |
| 1184076077 | Tammy Monck | Optometrist | 3952 Clairemont Mesa Blvd Ste I, San Diego, CA 92117 | 2016-07-05 |
| Find all providers in zip 92117 | ||||
| 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 |
|---|---|---|---|---|
| 1740887272 | Astur Health Care LLC | Home Health | 2667 Camino Del Rio S Ste 208-1, San Diego, CA 92108-3707 | 2020-10-07 |
| 1730795600 | Triage Healthcare Inc | Home Health | 2014 30th St, Suite 201, San Diego, CA 92104-5502 | 2020-09-16 |
| 1306456165 | Bama Street Investments LLC | Home Health | 3130 5th Ave Ste 1, San Diego, CA 92103-5839 | 2020-08-06 |
| 1235752585 | Liminal Solutions LLC | Home Health | 845 15th Street, Floors 1-4, San Diego, CA 92101 | 2020-05-21 |
| 1033756135 | Monarch Home Health Services LLC | Home Health | 2941 4th Ave Ste B, San Diego, CA 92103-5901 | 2019-12-08 |
| 1649828716 | All Hands Ot L.l.c | Home Health | 12648 Caminito Destello, San Diego, CA 92130-2811 | 2019-08-30 |
| 1982260287 | Keith L Thomas | Home Health | 10897 Canyon Hill Ln, San Diego, CA 92126-2051 | 2019-05-13 |
| 1801366935 | All Veterans Medical Staffing Inc. | Home Health | 438 Camino Del Rio S Ste 101, San Diego, CA 92108-3546 | 2018-12-01 |
| 1396210134 | Special Care Home Health Services, Inc. | Home Health | 591 Camino De La Reina Ste 1010a, San Diego, CA 92108-3112 | 2018-10-08 |
| 1205310687 | Health Shield Home Health Services | Home Health | 3914 Murphy Canyon Rd Ste A163, San Diego, CA 92123-4415 | 2018-09-20 |
| Find all providers in SAN DIEGO | ||||
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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.