Heavenly Diabetic Supplies Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

HEAVENLY DIABETIC SUPPLIES INC.

Practice address

3700 Fredricksburg Rd
Suite # 230
San Antonio, TX 78201-3269

Phone

(210) 733-7697

Fax

(210) 733-5843

NPI assigned

May 7, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Hortencia Moyers

Title

President/Owner

Phone

(210) 779-8697

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1241654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242345600000",
    "number": "1114151925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 FREDRICKSBURG RD",
            "address_2": "SUITE # 230",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782013269",
            "telephone_number": "210-733-7697",
            "fax_number": "210-733-5843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 FREDRICKSBURG RD",
            "address_2": "SUITE # 230",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782013269",
            "telephone_number": "210-733-7697",
            "fax_number": "210-733-5843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY DIABETIC SUPPLIES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-07",
        "last_updated": "2009-05-15",
        "status": "A",
        "authorized_official_last_name": "MOYERS",
        "authorized_official_first_name": "HORTENCIA",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "210-779-8697",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather L Parton PHD PLLC
• Shayla Sandra Heaton
• Alba Juliana Heatter, MD
• Charles E. Heausler, PA
• Heavenly Choice Home Health Care, LLC
• Heavenly Hands Adult Day Center
• Heavenly Hands Adult Day Center
• Heavenly Hearts Adult Daycare LLC
• Heavenly Hospice Care LLC
• Heb

• Durable Medical Equipment & Medical Supplies in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2009; 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.