Heavenly Hands Adult Daycare LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

HEAVENLY HANDS ADULT DAYCARE LLC

Practice address

12891 Pennridge Dr
Bridgeton, MO 63044-1238

Phone

(314) 942-9361

Fax

(314) 942-9041

NPI assigned

Aug 12, 2019

Organization subpart

No

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

Authorized official

Name

Roberta G Buckner

Title

Director

Phone

(314) 853-0648

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1565568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565568000000",
    "number": "1366098717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12891 PENNRIDGE DR",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630441238",
            "telephone_number": "314-942-9361",
            "fax_number": "314-942-9041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12891 PENNRIDGE DR",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630441238",
            "telephone_number": "314-942-9361",
            "fax_number": "314-942-9041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY HANDS ADULT DAYCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-12",
        "last_updated": "2019-08-12",
        "status": "A",
        "authorized_official_last_name": "BUCKNER",
        "authorized_official_first_name": "ROBERTA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "314-853-0648"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "heavenlyhandscds@gmail.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "12891 Pennridge Dr",
            "city": "Bridgeton",
            "state": "MO",
            "country_code": "US",
            "postal_code": "630441238",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Breanna Victoria Hayes
• He & Ta Rechtin DDS,PC
• Healing Hands Homecare and Counseling Services LLC
• Healthwise Advanced Practice Partners
• Hearts of Grace Consumer Directed Services
• Alexandra J Hedlesky, B.A.
• Chris Heeb
• Sabrina May Heidemann-Wells, MA, LPC
• Mary Claire Hellman
• Dale M Henselmeier, M.D.

• Adult Day Care Clinic/Center in Bridgeton, MO
• Providers in Bridgeton, MO by specialty
• Adult Day Care Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; 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.