HEAVEN GLORIOUS HOME HEALTH AGENCY INC
NPI 1104062934
Home Health in Dallas, TX

Active since December 29, 2008
2665 VILLA CREEK DR, SUITE A248, DALLAS, TX 75234(972) 331-4477(972) 488-9200 Get Directions Write a Review

NPPES record last updated: September 30, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 30, 2016, Jun 21, 2016 (2 updates tracked since 2016).

About Heaven Glorious Home Health Agency Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEAVEN GLORIOUS HOME HEALTH AGENCY INC (NPI 1104062934) is a healthcare organization registered as a home health in Dallas, Texas and active in the NPI registry since December 2008. The organization lists Breaget N Fumudons, Administrator, as its authorized official.

NPPES Registry Identity

NPI1104062934
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameHEAVEN GLORIOUS HOME HEALTH AGENCY INC
Location Address2665 VILLA CREEK DR, SUITE A248Dallas, TX 75234-7309
Mailing Address2665 Villa Creek Dr, Suite A248Dallas, TX 75234-7309 · (972) 331-4477 · Fax (972) 488-9200
Fax(972) 488-9200
Organization SubpartNo
Authorized OfficialBreaget N FumudonsAdministrator · (214) 607-7625
Enumeration DateDecember 29, 2008
Last NPPES UpdateSeptember 30, 20162 updates tracked since enumeration
NPI 1104062934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
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.
2665 VILLA CREEK DR, Dallas, TX 75234

Other Identifiers 1

Medicare OSCAR/certification747489TX

Home Health Quality Ratings CMS Care Compare

Quality ratings, patient care measures and outcomes for Heaven Glorious Home Health Agency Inc (CMS certification number 747489), from CMS Care Compare.

Heaven Glorious Home Health Agency Inc

Home health agency · Dallas, TX
OwnershipProprietary
CMS Certification Number747489
Medicare-Certified SinceNovember 22, 2010
Services Offered
Skilled nursing care Physical therapy Occupational therapy Speech-language pathology Medical social services Home health aide services

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Hospice Care, Community Based
2665 VILLA CREEK DR, SUITE 258
DALLAS, TX 75234
Hospice Care, Community Based
2665 VILLA CREEK DR, SUITE 252
DALLAS, TX 75234
Hospice Care, Community Based
2665 VILLA CREEK DR, SUITE 104-5
DALLAS, TX 75234
Case Manager/Care Coordinator
2665 VILLA CREEK DR, SUITE 110
DALLAS, TX 75234
Hospice Care, Community Based
2665 VILLA CREEK DR, SUITE A260
DALLAS, TX 75234
Contractor
2665 VILLA CREEK DR, STE 205A
DALLAS, TX 75234
Counselor (Professional)
2665 VILLA CREEK DR, SUITE 245
FARMERS BRANCH, TX 75234
Home Health
2665 VILLA CREEK DR, STE 257
DALLAS, TX 75234

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Heaven Glorious Home Health Agency Inc's NPI number?

The NPI number for Heaven Glorious Home Health Agency Inc is 1104062934. It was assigned to this organization in the NPPES registry on December 29, 2008.

Where is Heaven Glorious Home Health Agency Inc located?

Heaven Glorious Home Health Agency Inc is located at 2665 Villa Creek Dr Suite A248, Dallas, TX 75234. The listed phone number is (972) 331-4477.

What is Heaven Glorious Home Health Agency Inc's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Is Heaven Glorious Home Health Agency Inc a Medicare-certified home health agency?

Yes. Heaven Glorious Home Health Agency Inc is a Medicare-certified home health agency, certified since November 22, 2010.

When was this NPI record last updated?

The NPPES record for Heaven Glorious Home Health Agency Inc was last updated on September 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.