Heaven'S Cove I - IV, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

0411016269 Issued in GA

Legal business name

HEAVEN'S COVE I - IV, LLC

Practice address

5280 Winslow Xing N
Lithonia, GA 30038-1142

Phone

(678) 395-4423

NPI assigned

Jan 4, 2007

Organization subpart

No

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

Authorized official

Name

Andrea Moore

Title

Ceo

Phone

(516) 835-4109

Specialties & licenses 1

Addresses

Tax ID family

Heaven'S Cove I - IV LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Heavens Cove

  • Substance Abuse Rehabilitation Facility
  • Atlanta, GA
  • NPI 1538314810
  NPD tax ID

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356498000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13295 PROVIDENCE LAKE DR",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300047507",
            "telephone_number": "516-883-5410",
            "fax_number": "770-772-7331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5280 WINSLOW XING N",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300381142",
            "telephone_number": "678-395-4423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVEN'S COVE I - IV, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "516-835-4109"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "0411016269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Takiyah Head, LPC,CRCS
• Headquarterz HQZ PC
• Healing Hands Home Health Agency,LLC
• Heart Helping Hands, LLC
• Tisa Heath
• Heavenly Helping Hands
• Linda Yvonne Henderson-Smith, PHD, LPC
• Christine Henegan
• Vonda Kaye Hester, DMD
• Andrea Renae Heyward

• Home Health Agency in Lithonia, GA
• Providers in Lithonia, GA by specialty
• Home Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.