Organization Active NPI

Heavenly Healing Inc

  • Assisted Living Facility
  • Milwaukee, WI
National Provider Identifier
1003141391
Registry record updated Dec 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
HEAVENLY HEALING INC
Practice address
8225 North 107TH Street
Milwaukee, WI 53218
Phone
(727) 697-7241
NPI assigned
Oct 5, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Miss Angela G McMillian, ADMINISTRATIVE
Title
Owner
Phone
(414) 940-0465

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

8225 North 107TH Street
Milwaukee, WI 53218

Mailing address

PO Box 250394
Milwaukee, WI 53225-6504
Phone (414) 940-0465

Other identifiers 1

IdentifierTypeStateIssuer
1003141391MedicaidWI

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1254700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513036800000",
    "number": "1003141391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 250394",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532256504",
            "telephone_number": "414-940-0465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8225 NORTH 107TH STREET",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53218",
            "telephone_number": "727-697-7241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY HEALING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-05",
        "last_updated": "2017-12-12",
        "status": "A",
        "authorized_official_last_name": "MCMILLIAN",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-940-0465",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "ADMINISTRATIVE"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003141391",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.