NPIMap

Organization Active NPI

Heavenly Oasis

  • Health Maintenance Organization
  • Monroe, LA
National Provider Identifier
1053766170
Registry record updated Apr 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
LA5986 Issued in LA
Legal business name
HEAVENLY OASIS
Practice address
2107 Honor St
Suite C
Monroe, LA 71201-3648
Phone
(318) 516-9626
NPI assigned
Apr 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2016

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

Authorized official

Name
Mr. Jeremiah Reed, M.T
Title
Massage Therapist
Phone
(318) 516-9626

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X LA5986 LA Primary

Addresses

Primary practice location

2107 Honor St
Suite C
Monroe, LA 71201-3648

Mailing address

2107 Honor St
Suite C
Monroe, LA 71201-3648
Phone (318) 516-9626

National Provider Directory

National Provider Directory

Locations

2107 Honor St
Ste C
Monroe, LA 71201
Phone (318) 350-3513

NPI Registry JSON

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

{
    "created_epoch": "1461628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461628800000",
    "number": "1053766170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2107 HONOR ST",
            "address_2": "SUITE C",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712013648",
            "telephone_number": "318-516-9626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2107 HONOR ST",
            "address_2": "SUITE C",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712013648",
            "telephone_number": "318-516-9626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY OASIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-26",
        "last_updated": "2016-04-26",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "JEREMIAH",
        "authorized_official_title_or_position": "MASSAGE THERAPIST",
        "authorized_official_telephone_number": "318-516-9626",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.T"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "LA",
            "license": "LA5986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2016; 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.