Heavenly Embrace

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

HEAVENLY EMBRACE

Doing business as

Mitchell Brown

Practice address

806 Green Valley Rd Ste 307
Greensboro, NC 27408-7076

Phone

(336) 723-4776

Fax

(336) 734-1656

NPI assigned

Oct 30, 2007

Last updated

Oct 30, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Mitchell Kendell Brown

Title

Owner/ Facility Director

Phone

(336) 723-4776

Specialties & licenses 1

Addresses

Other names 1

• Mitchell Brown Doing business as

Locations

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193702400000",
    "number": "1093994683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 JONESTOWN RD # 127",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271044620",
            "telephone_number": "336-723-4776",
            "fax_number": "336-734-1656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 GREEN VALLEY RD STE 307",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274087076",
            "telephone_number": "336-723-4776",
            "fax_number": "336-734-1656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY EMBRACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-30",
        "last_updated": "2007-10-30",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "KENDELL",
        "authorized_official_title_or_position": "OWNER/ FACILITY DIRECTOR",
        "authorized_official_telephone_number": "336-723-4776",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mitchell Brown",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jahci Heath
• Katherine Boedicker Heath, RN
• Spencer McKan Heath III
• Heavely Angels
• Heavenly Angels Group Home, Inc
• Heavenly Healthcare Agency, Inc.
• Heavenlygates, Inc.
• Stephen Perry Hebard, LPC
• Donald Vincent Heck, MD
• Hecker Ophthalmology PA

• Community/Behavioral Health Agency in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; 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.