Heavenly Touch Care Home

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

FCL 023-010 Issued in NC

Legal business name

HEAVENLY TOUCH CARE HOME

Practice address

429 Crocker Rd
Kings Mountain, NC 28086-4004

Phone

(704) 739-6429

NPI assigned

Mar 22, 2007

Organization subpart

No

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

Authorized official

Name

Archie Crocker

Title

Owner

Phone

(704) 739-6429

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216166400000",
    "number": "1083730055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 CROCKER RD",
            "city": "KINGS MOUNTAIN",
            "state": "NC",
            "postal_code": "280864004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 CROCKER RD",
            "city": "KINGS MOUNTAIN",
            "state": "NC",
            "postal_code": "280864004",
            "telephone_number": "704-739-6429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY TOUCH CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2008-07-16",
        "status": "A",
        "authorized_official_last_name": "CROCKER",
        "authorized_official_first_name": "ARCHIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-739-6429"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "FCL 023-010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7801288",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tenae Griffin, NP
• Michael Bernard Haas, PT, DPT, CAFS
• Joshua Haney, PHARMD
• Judy Harmon
• Shaniqua Harris, CNM, WHNP-BC
• Paul Eugene Hendricks Jr., DDS
• Jennifer Jones Hickman, DC
• Sean Clair Hickman, DC
• Michael Andrew Hollifield, D.M.D.
• Hunter Evan Hopkins, MD

• Assisted Living Facility in Kings Mountain, NC
• Providers in Kings Mountain, NC by specialty
• Assisted Living Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; 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.