Healing House 1 Residential Care, LLC

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

Legal business name

HEALING HOUSE 1 RESIDENTIAL CARE, LLC

Practice address

107 Northwind Court
Warner Robins, GA 31093

Phone

(478) 731-2895

Fax

(478) 302-5767

NPI assigned

Feb 22, 2021

Organization subpart

No

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

Authorized official

Name

Ms. Essie Novella DavisNPI 1487247318

Title

Owner

Phone

(478) 731-2895

Specialties & licenses 1

Addresses

Practitioners 1

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

• Essie Novella Davis

  • Home Health Aide
  • Warner Robins, GA
  • NPI 1487247318
  NPD Authorized official

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

{
    "created_epoch": "1613952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613952000000",
    "number": "1295329282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 NORTHWIND COURT",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "31093",
            "telephone_number": "478-731-2895",
            "fax_number": "478-302-5767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 NORTHWIND COURT",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "31093",
            "telephone_number": "478-731-2895",
            "fax_number": "478-302-5767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING HOUSE 1 RESIDENTIAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-22",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "ESSIE",
        "authorized_official_middle_name": "NOVELLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-731-2895",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee Monique Haynes, M.D.
• Curtis O Hayslip, DMD
• Y'Tia Haywood
• Gail Lanterman Heaberg, APRN, FNP-C, DRPH
• Kenneth Wendell Healey, M.D.
• Health Services of Central Georgia, Inc
• Healthqwest LLC
• Healthyconnect of Central Georgia Inc
• Hearing Aid Systems, LLC
• Hearing Associates, Inc.

• Custodial Care Facility in Warner Robins, GA
• Providers in Warner Robins, GA by specialty
• Custodial Care Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; 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.