OrganizationActive
Heaven Glorious Home Health Agency Inc
NPI 1104062934 · Home Health Agency · Dallas, TX
Heaven Glorious Home Health Agency Inc is a Home Health Agency organization in Dallas, TX (NPI 1104062934).
Provider details
- NPI number
- 1104062934
- Entity type
- Organization
- Primary specialty
- Home Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Breaget Fumudons, Administrator(214) 607-7625
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2665 Villa Creek Dr
Suite A248
Dallas, TX 75234-7309
Phone: (972) 331-4477
Fax: (972) 488-9200
Street-level locationGet directions
Mailing address
2665 Villa Creek Dr
Dallas, TX 75234-7309
Registry dates
- Enumerated
- 2008-12-29
- Last updated
- 2016-09-30
Frequently asked questions
- What is Heaven Glorious Home Health Agency Inc's NPI number?
- Heaven Glorious Home Health Agency Inc's National Provider Identifier (NPI) is 1104062934, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Heaven Glorious Home Health Agency Inc?
- Heaven Glorious Home Health Agency Inc is classified in the NPPES registry as Home Health Agency (Agencies).
- Where is Heaven Glorious Home Health Agency Inc located?
- Heaven Glorious Home Health Agency Inc's practice location on file with NPPES is 2665 Villa Creek Dr, Dallas, TX 75234-7309.
- What is Heaven Glorious Home Health Agency Inc's phone number?
- The practice phone number listed in the NPPES registry for Heaven Glorious Home Health Agency Inc is (972) 331-4477.
- Who is the authorized official for Heaven Glorious Home Health Agency Inc?
- The authorized official listed on Heaven Glorious Home Health Agency Inc's NPPES record is Breaget Fumudons, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Heaven Glorious Home Health Agency Inc's NPI active?
- Yes — Heaven Glorious Home Health Agency Inc's NPI (1104062934) is active in the NPPES registry as of the last update on 2016-09-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.