NPIMap

Organization Active NPI

Heavenly Touch, LLC

  • Home Health Agency
  • Pembroke, NC
National Provider Identifier
1083733885
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC 3566 Issued in NC
Legal business name
HEAVENLY TOUCH, LLC
Practice address
636 Prospect Rd.
Pembroke, NC 28372
Phone
(910) 522-2124
Fax
(910) 521-9190
NPI assigned
Mar 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Shannon Lynn Locklear
Title
Administrator
Phone
(910) 522-2124

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC 3566 NC Primary

Addresses

Primary practice location

636 Prospect Rd.
Pembroke, NC 28372

Mailing address

PO Box 1358
Pembroke, NC 28372-1358
Phone (910) 522-2124

Other identifiers 1

IdentifierTypeStateIssuer
3418249MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Heavenly Touch LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083733885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1358",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283721358",
            "telephone_number": "910-522-2124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 PROSPECT RD.",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "28372",
            "telephone_number": "910-522-2124",
            "fax_number": "910-521-9190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY TOUCH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOCKLEAR",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "910-522-2124"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC 3566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3418249",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.