Heavenly Angel Wings Retirement Home

Primary specialty

Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X

Legal business name

HEAVENLY ANGEL WINGS RETIREMENT HOME

Practice address

8404 Knifley Rd
Columbia, KY 42728-7505

Phone

(270) 250-4051

NPI assigned

Sep 5, 2013

Organization subpart

No

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

Authorized official

Name

Charles Crawhorn

Title

Ceo

Phone

(270) 250-4051

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1378339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378339200000",
    "number": "1174958474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8404 KNIFLEY RD",
            "city": "COLUMBIA",
            "state": "KY",
            "postal_code": "427287505",
            "telephone_number": "270-250-4051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8404 KNIFLEY RD",
            "city": "COLUMBIA",
            "state": "KY",
            "postal_code": "427287505",
            "telephone_number": "270-250-4051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY ANGEL WINGS RETIREMENT HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-05",
        "last_updated": "2013-09-05",
        "status": "A",
        "authorized_official_last_name": "CRAWHORN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "270-250-4051"
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Hardwick, LPCC, CADC
• Abby Bryant Hatcher, PHARMD
• Shannon Rene' Hayes, LMT
• Health Solutions LLC
• Healthy Community, LLC
• Ashley May Helm, PHARM.D
• Anastacio G Herrera Jr., M.D.
• Maria Holderfield
• Paul Keith Holland
• Dena Holt, LICENSED OPTICIAN

• Physical Disabilities Residential Treatment Facility in Columbia, KY
• Providers in Columbia, KY by specialty
• Physical Disabilities Residential Treatment Facility in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2013; 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.