Organization Active NPI

Healing Hands Assisted Living LLC

  • Assisted Living Facility (Mental Illness)
  • Pearland, TX
National Provider Identifier
1104193044
Registry record updated Nov 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
Legal business name
HEALING HANDS ASSISTED LIVING LLC
Practice address
4706 Buescher CT
Pearland, TX 77584-1284
Phone
(404) 493-0867
Fax
(478) 741-0449
NPI assigned
Nov 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2011

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

Authorized official

Name
Timishea Tillman
Title
Owner
Phone
(404) 493-0867

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X Primary

Addresses

Primary practice location

4706 Buescher CT
Pearland, TX 77584-1284

Mailing address

2667 C St
Macon, GA 31206-8307
Phone (404) 493-0867

National Provider Directory

National Provider Directory
Tax ID family
Healing Hands Assisted Living 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": "1321833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321833600000",
    "number": "1104193044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2667 C ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312068307",
            "telephone_number": "404-493-0867",
            "fax_number": "478-741-0449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4706 BUESCHER CT",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775841284",
            "telephone_number": "404-493-0867",
            "fax_number": "478-741-0449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING HANDS ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-21",
        "last_updated": "2011-11-21",
        "status": "A",
        "authorized_official_last_name": "TILLMAN",
        "authorized_official_first_name": "TIMISHEA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-493-0867"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2011; 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.