Heavenly Medical Supply

Primary specialty

Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X

Legal business name

HEAVENLY MEDICAL SUPPLY

Practice address

6349 Estates Dr
Bastrop, LA 71220-9749

Phone

(318) 283-1210

NPI assigned

Jan 13, 2009

Organization subpart

No

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

Authorized official

Name

Claudia Denice Harris

Title

Medical Supplier

Phone

(318) 283-1210

Specialties & licenses 1

Addresses

Tax ID family

Heavenly Medical Supply2 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.

• Heavenly Medical Supply,LLC

  • Durable Medical Equipment & Medical Supplies
  • NPI 1275853236
  NPD tax ID

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

{
    "created_epoch": "1231804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231804800000",
    "number": "1447497425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6349 ESTATES DR",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712209749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6349 ESTATES DR",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712209749",
            "telephone_number": "318-283-1210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-13",
        "last_updated": "2009-01-13",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_middle_name": "DENICE",
        "authorized_official_title_or_position": "MEDICAL SUPPLIER",
        "authorized_official_telephone_number": "318-283-1210"
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamatha Yvette Hawkins, NP
• Randle B Hawthorne, D.C.
• Kristal Atkins Hayman, LPC-S, NCC
• Healthy Minds
• Healthy Minds
• Shelby A Hebert, PHARM. D.
• Henderson Chiropractic Apc
• Alvin Allen Henderson, DC
• Dominique Henderson
• Yolanda Henderson, RN

• Physical Disabilities Residential Treatment Facility in Bastrop, LA
• Providers in Bastrop, LA by specialty
• Physical Disabilities Residential Treatment Facility in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2009; 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.