Organization Active NPI

Heal, Inc

  • Durable Medical Equipment & Medical Supplies
  • Union City, GA
National Provider Identifier
1336312149
Registry record updated Apr 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
HEAL, INC
Practice address
5100 Alexander Ave
Union City, GA 30291-1106
Phone
(770) 969-4526
NPI assigned
Apr 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2008

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

Authorized official

Name
Mrs. Retina Dawson-Young, MSW, CPED
Title
Director/Ceo
Phone
(770) 969-4526

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

5100 Alexander Ave
Union City, GA 30291-1106

Mailing address

5100 Alexander Ave
Union City, GA 30291-1106
Phone (770) 969-4526

Other identifiers 1

IdentifierTypeStateIssuer
10051306OtherGAAMERIGROUP

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1207958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207958400000",
    "number": "1336312149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 ALEXANDER AVE",
            "city": "UNION CITY",
            "state": "GA",
            "postal_code": "302911106",
            "telephone_number": "770-969-4526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 ALEXANDER AVE",
            "city": "UNION CITY",
            "state": "GA",
            "postal_code": "302911106",
            "telephone_number": "770-969-4526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-12",
        "last_updated": "2008-04-12",
        "status": "A",
        "authorized_official_last_name": "DAWSON-YOUNG",
        "authorized_official_first_name": "RETINA",
        "authorized_official_title_or_position": "DIRECTOR/CEO",
        "authorized_official_telephone_number": "770-969-4526",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW, CPED"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10051306",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Union City, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2008; 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.