Heavenly Home Health Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

HC3627 Issued in NC

Legal business name

HEAVENLY HOME HEALTH CARE LLC

Practice address

102 S. Wilson Ave
Ste H
Dunn, NC 28334-4960

Phone

(910) 978-8388

Fax

(910) 892-2987

NPI assigned

Jan 5, 2007

Organization subpart

No

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

Authorized official

Name

Geraldine MC Neill

Title

President/Director

Phone

(910) 978-8388

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369872000000",
    "number": "1376691659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 S. WILSON AVE",
            "address_2": "STE H",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283344960",
            "telephone_number": "910-978-8388",
            "fax_number": "910-892-2987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 S. WILSON AVE",
            "address_2": "STE H",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283344960",
            "telephone_number": "910-978-8388",
            "fax_number": "910-892-2987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2013-05-30",
        "status": "A",
        "authorized_official_last_name": "MC NEILL",
        "authorized_official_first_name": "GERALDINE",
        "authorized_official_title_or_position": "PRESIDENT/DIRECTOR",
        "authorized_official_telephone_number": "910-978-8388"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC3627",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "HC3627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candace E. Hatcher
• Angie Delynn Ryan Hathaway
• Sanford William Hawkins-Rivers, M.D.
• Mary Hawley, RN, WOCN
• Kyle Hayes, DMD
• Diane Kay Heidegger, PT
• Lathan-Steele Henderson, DO
• Richard Bruce Henry, LPTA
• Mary Margaret Tripp Hether, FNP-C
• Sean Hicks

• In Home Supportive Care Agency in Dunn, NC
• Providers in Dunn, NC by specialty
• In Home Supportive Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2013; 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.