Organization Active NPI

Heavenly Hands Family Service

  • Professional Counselor
  • Charlotte, NC
National Provider Identifier
1326437179
Registry record updated Mar 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
HEAVENLY HANDS FAMILY SERVICE
Practice address
7950 Nations Ford Rd
Charlotte, NC 28217-8014
Phone
(704) 763-2318
Fax
(704) 909-6946
NPI assigned
Jan 16, 2015
Last updated
Mar 18, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2015

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

Authorized official

Name
Vincent Mitchell
Title
Ceo
Phone
(704) 763-2318

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

7950 Nations Ford Rd
Charlotte, NC 28217-8014

Mailing address

7950 Nations Ford Rd
Charlotte, NC 28217-8014
Phone (704) 763-2318

Other identifiers 2

IdentifierTypeStateIssuer
6006569MedicaidNC
83202440MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Heavenly Hands Family Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

7950 Nations Ford Rd
Charlotte, NC 28217
Phone (704) 564-0568

NPI Registry JSON

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

{
    "created_epoch": "1421366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426636800000",
    "number": "1326437179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7950 NATIONS FORD RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282178014",
            "telephone_number": "704-763-2318",
            "fax_number": "704-909-6946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7950 NATIONS FORD RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282178014",
            "telephone_number": "704-763-2318",
            "fax_number": "704-909-6946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY HANDS FAMILY SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-16",
        "last_updated": "2015-03-18",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-763-2318"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6006569",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "83202440",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; 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.