Active NPI
Heavenly Devine Blessing
- Home Delivered Meals
- Kingsland, GA
National Provider Identifier
1376850545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Delivered Meals
- License
- 1-9483
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.