Organization Active NPI

Heavenly Devine Blessing

  • Home Delivered Meals
  • Kingsland, GA
National Provider Identifier
1376850545
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Delivered MealsTaxonomy code 332U00000X
License
1-9483 Issued in GA
Legal business name
HEAVENLY DEVINE BLESSING
Practice address
5524 US Highway 17 N
Kingsland, GA 31548-4052
Phone
(912) 882-3643
NPI assigned
Sep 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Authorized official

Name
Mrs. Dawn M Eggleston
Title
Owner
Phone
(912) 882-3643

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Delivered Meals 332U00000X 2445 GA
Home Delivered Meals 332U00000X 1-9483 GA Primary

Addresses

Primary practice location

5524 US Highway 17 N
Kingsland, GA 31548-4052

Mailing address

5524 US Highway 17 N
Kingsland, GA 31548-4052
Phone (912) 882-3643

Other names 1

  • Big Mama's Kitchen Doing business as

National Provider Directory

National Provider Directory

Locations

105 N Lee St
Kingsland, GA 31548

5524 US Highway 17 N
Kingsland, GA 31548
Phone (912) 882-3643

NPI Registry JSON

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

{
    "created_epoch": "1283904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743552000000",
    "number": "1376850545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5524 US HIGHWAY 17 N",
            "city": "KINGSLAND",
            "state": "GA",
            "postal_code": "315484052",
            "telephone_number": "912-882-3643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5524 US HIGHWAY 17 N",
            "city": "KINGSLAND",
            "state": "GA",
            "postal_code": "315484052",
            "telephone_number": "912-882-3643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY DEVINE BLESSING",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-08",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A",
        "authorized_official_last_name": "EGGLESTON",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-882-3643",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": "GA",
            "license": "2445",
            "primary": false
        },
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": "GA",
            "license": "1-9483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Big Mama's Kitchen",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kingsland, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; 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.