Organization Active NPI

Heineman Health

  • Durable Medical Equipment & Medical Supplies
  • Cartersville, GA
National Provider Identifier
1386417491
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
HEINEMAN HEALTH
Practice address
59 Autumn Canyon Path SE
Cartersville, GA 30121-2946
Phone
(770) 403-9433
NPI assigned
Oct 31, 2023
Last updated
Oct 31, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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

Authorized official

Name
Kyle Heineman
Title
Member
Phone
(770) 403-9433

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

59 Autumn Canyon Path SE
Cartersville, GA 30121-2946

Mailing address

25 Liberty Dr # 1355
Cartersville, GA 30121-3358
Phone (770) 403-9433

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1698710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698710400000",
    "number": "1386417491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 LIBERTY DR # 1355",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301213358",
            "telephone_number": "770-403-9433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 AUTUMN CANYON PATH SE",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301212946",
            "telephone_number": "770-403-9433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEINEMAN HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-31",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A",
        "authorized_official_last_name": "HEINEMAN",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "770-403-9433"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cartersville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; 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.