Organization Active NPI

Healing Hands Assisted Living LLC

  • Assisted Living Facility (Mental Illness)
  • Macon, GA
National Provider Identifier
1366712572
Registry record updated Jan 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
Legal business name
HEALING HANDS ASSISTED LIVING LLC
Practice address
2667 C St
Macon, GA 31206-8307
Phone
(404) 493-0867
Fax
(478) 254-8837
NPI assigned
Jan 4, 2012
Last updated
Jan 4, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2012

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

Authorized official

Name
Ms. Timishea Tillman
Title
Owner
Phone
(404) 493-0867

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X NU Primary
Non-emergency Medical Transport (VAN) 343900000X NU

Addresses

Primary practice location

2667 C St
Macon, GA 31206-8307

Mailing address

6601 Carver Avenue
Texascity, TX 77591
Phone (404) 493-0867

National Provider Directory

National Provider Directory
Tax ID family
Healing Hands Assisted Living 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.

NPI Registry JSON

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

{
    "created_epoch": "1325635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325635200000",
    "number": "1366712572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6601 CARVER AVENUE",
            "city": "TEXASCITY",
            "state": "TX",
            "postal_code": "77591",
            "telephone_number": "404-493-0867",
            "fax_number": "478-254-8837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2667 C ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312068307",
            "telephone_number": "404-493-0867",
            "fax_number": "478-254-8837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING HANDS ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-04",
        "last_updated": "2012-01-04",
        "status": "A",
        "authorized_official_last_name": "TILLMAN",
        "authorized_official_first_name": "TIMISHEA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-493-0867",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2012; 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.