Healthy Heroes LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

HEALTHY HEROES LLC

Practice address

308 Tree Creek Pkwy
Lawrenceville, GA 30043-8454

Phone

(470) 981-3658

NPI assigned

Apr 7, 2022

Organization subpart

No

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

Authorized official

Name

Ravenmalik Wilson

Title

Ceo

Phone

(470) 981-3658

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1649289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649289600000",
    "number": "1225779606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 TREE CREEK PKWY",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300438454",
            "telephone_number": "470-981-3658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 TREE CREEK PKWY",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300438454",
            "telephone_number": "470-981-3658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY HEROES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-07",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-06",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "RAVENMALIK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "470-981-3658"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Home Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2022; 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.