Organization Active NPI

Heavenly Hands Hospice Care LLC

  • Community Based Hospice Care Agency
  • Aiken, SC
National Provider Identifier
1235944760
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
HEAVENLY HANDS HOSPICE CARE LLC
Practice address
769 York St NE
Aiken, SC 29801-4019
Phone
(803) 226-0117
NPI assigned
Feb 11, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Authorized official

Name
Mario Develle WilliamsNPI 1770215469
Title
Owner
Phone
(803) 949-5506

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

769 York St NE
Aiken, SC 29801-4019

Mailing address

769 York St NE
Aiken, SC 29801-4019
Phone (803) 226-0117

Other names 1

  • Heavenly Hands Hospice Care LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

769 York St NE
Aiken, SC 29801
Phone (803) 226-0117

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1739232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739232000000",
    "number": "1235944760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "769 YORK ST NE",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298014019",
            "telephone_number": "803-226-0117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "769 YORK ST NE",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298014019",
            "telephone_number": "803-226-0117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY HANDS HOSPICE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-11",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "DEVELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-949-5506"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heavenly Hands Hospice Care LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Aiken, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; 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.