Heaven Sent Isl

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

1982-8946 Issued in MO

Legal business name

HEAVEN SENT ISL

Practice address

3001 Yukon Dr
Columbia, MO 65202-0922

Phone

(573) 886-2191

NPI assigned

Mar 23, 2007

Organization subpart

No

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

Authorized official

Name

Miss Damara Gaines

Title

Administrator

Phone

(573) 886-2191

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214870400000",
    "number": "1124145347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 YUKON DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652020922",
            "telephone_number": "573-886-2191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 YUKON DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652020922",
            "telephone_number": "573-886-2191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVEN SENT ISL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2008-07-01",
        "status": "A",
        "authorized_official_last_name": "GAINES",
        "authorized_official_first_name": "DAMARA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "573-886-2191",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MO",
            "license": "1982-8946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.