Organization Active NPI

Heavenly Homecare of East Tennessee

  • In Home Supportive Care Agency
  • Chattanooga, TN
National Provider Identifier
1003309568
Registry record updated Jun 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
HEAVENLY HOMECARE OF EAST TENNESSEE
Practice address
4025 Oakwood Dr
Chattanooga, TN 37416-2373
Phone
(423) 519-6021
NPI assigned
Jun 10, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2018

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

Authorized official

Name
Deidra Leann Watson
Title
Owner
Phone
(423) 519-6021

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

4025 Oakwood Dr
Chattanooga, TN 37416-2373

Mailing address

PO Box 8115
Chattanooga, TN 37414-0115

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1528588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528588800000",
    "number": "1003309568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8115",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374140115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4025 OAKWOOD DR",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374162373",
            "telephone_number": "423-519-6021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY HOMECARE OF EAST TENNESSEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-10",
        "last_updated": "2018-06-10",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "DEIDRA",
        "authorized_official_middle_name": "LEANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-519-6021"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2018; 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.