NPIMap

Organization Active NPI

Heavenly Helping Hands Homecare LLC

  • In Home Supportive Care Agency
  • Covington, GA
National Provider Identifier
1295495364
Registry record updated Dec 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
HEAVENLY HELPING HANDS HOMECARE LLC
Practice address
120 Long Creek Dr
Covington, GA 30016-7723
Phone
(770) 861-1261
NPI assigned
Dec 30, 2021
Last updated
Dec 31, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2021

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

Authorized official

Name
Ms. Linda Jefferson, LPNNPI 1851717979
Title
Ceo
Phone
(770) 861-1261

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
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

120 Long Creek Dr
Covington, GA 30016-7723

Mailing address

120 Long Creek Dr
Covington, GA 30016-7723
Phone (770) 861-1261

Other identifiers 1

IdentifierTypeStateIssuer
1851717979MedicaidGA

Other names 1

  • Heavenly Helping Hands LLC Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1640822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640908800000",
    "number": "1295495364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 LONG CREEK DR",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300167723",
            "telephone_number": "770-861-1261",
            "fax_number": "770-728-4598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 LONG CREEK DR",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300167723",
            "telephone_number": "770-861-1261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY HELPING HANDS HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-30",
        "last_updated": "2021-12-31",
        "certification_date": "2021-12-31",
        "status": "A",
        "authorized_official_last_name": "JEFFERSON",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-861-1261",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1851717979",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heavenly Helping Hands LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Dec 31, 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.