NPIMap

Organization Active NPI

Heavenly Arms Assisted Living

  • Assisted Living Facility (Behavioral Disturbances)
  • Covington, GA
National Provider Identifier
1275898363
Registry record updated Jul 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X
License
PCH004274 Issued in GA
Legal business name
HEAVENLY ARMS ASSISTED LIVING
Practice address
11230 Highway 278 E
Covington, GA 30014-1673
Phone
(678) 342-7537
NPI assigned
Jul 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2012

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

Authorized official

Name
Vida A Thompson, PN
Title
Owner
Phone
(678) 342-7537

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Behavioral Disturbances) 3104A0630X PCH004274 GA Primary

Addresses

Primary practice location

11230 Highway 278 E
Covington, GA 30014-1673

Mailing address

11230 Highway 278 E
Covington, GA 30014-1673
Phone (678) 342-7537

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1341446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341446400000",
    "number": "1275898363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11230 HIGHWAY 278 E",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300141673",
            "telephone_number": "678-342-7537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11230 HIGHWAY 278 E",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300141673",
            "telephone_number": "678-342-7537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY ARMS ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-05",
        "last_updated": "2012-07-05",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "VIDA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-342-7537",
        "authorized_official_credential": "PN"
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": "GA",
            "license": "PCH004274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2012; 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.