Active NPI
Heavenly Hands Family Service
- Professional Counselor
- Charlotte, NC
National Provider Identifier
1326437179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- 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, 2015
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6006569 | Medicaid | NC | |
| 83202440 | Medicaid | NC |
National Provider Directory
National Provider Directory- Tax ID family
- Heavenly Hands Family Services
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Gastonia, NC
- NPI 1174701601
-
- Professional Counselor
- Mint Hill, NC
- NPI 1326203159
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.