Organization Active NPI

Heavenly Hands Home Care LLC

  • Home Health Agency
  • Grenada, MS
National Provider Identifier
1174367957
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HEAVENLY HANDS HOME CARE LLC
Practice address
639 S Dr Martin Luther King Jr Blvd
Grenada, MS 38901-3525
Phone
(662) 752-0029
NPI assigned
Jun 25, 2024
Last updated
Jun 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Authorized official

Name
Chelse Caffey
Title
Ceo
Phone
(662) 752-0029

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

639 S Dr Martin Luther King Jr Blvd
Grenada, MS 38901-3525

Mailing address

639 S Dr Martin Luther King Jr Blvd
Grenada, MS 38901-3525
Phone (662) 752-0029

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1719273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719273600000",
    "number": "1174367957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "639 S DR MARTIN LUTHER KING JR BLVD",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "389013525",
            "telephone_number": "662-752-0029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 S DR MARTIN LUTHER KING JR BLVD",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "389013525",
            "telephone_number": "662-752-0029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY HANDS HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-25",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A",
        "authorized_official_last_name": "CAFFEY",
        "authorized_official_first_name": "CHELSE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "662-752-0029"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grenada, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.