NPIMap

Organization Active NPI

Heavenly Medical Supply,LLC

  • Durable Medical Equipment & Medical Supplies
National Provider Identifier
1275853236
Registry record updated Jun 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
HEAVENLY MEDICAL SUPPLY,LLC
Doing business as
NONE
Practice address
6349 Estates Dr.
Bastrop, NONE NONE
UM
Phone
(318) 283-1210
NPI assigned
Jun 1, 2010
Organization subpart
Yes
Parent organization
CLAUDIA HARRISAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 1, 2010

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

Authorized official

Name
Mrs. Claudia Denice Harris, NONE
Title
Office Manager (Owner)
Phone
(318) 283-1210

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

6349 Estates Dr.
Bastrop, NONE NONE
UM

Mailing address

6349 Estates Dr
Bastrop, LA 71220-9749
Phone (318) 283-1210

Other names 1

  • NONE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Heavenly Medical Supply2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1275350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275350400000",
    "number": "1275853236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6349 ESTATES DR",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712209749",
            "telephone_number": "318-283-1210"
        },
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "LOCATION",
            "address_type": "FGN",
            "address_1": "6349 ESTATES DR.",
            "city": "BASTROP",
            "state": "NONE",
            "postal_code": "NONE",
            "telephone_number": "318-283-1210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY MEDICAL SUPPLY,LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLAUDIA HARRIS",
        "enumeration_date": "2010-06-01",
        "last_updated": "2010-06-01",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_middle_name": "DENICE",
        "authorized_official_title_or_position": "OFFICE MANAGER (OWNER)",
        "authorized_official_telephone_number": "318-283-1210",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NONE"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NONE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2010; 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.