Healthy Healing Care Services

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Legal business name

HEALTHY HEALING CARE SERVICES

Practice address

15 E E St
Belleville, IL 62220-1226

Phone

(618) 558-1777

NPI assigned

Dec 3, 2021

Last updated

Dec 3, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tiera L EvansNPI 1033872387

Title

Therapeutic Healthcare Assistance

Phone

(618) 558-1777

Specialties & licenses 1

Addresses

Other names 1

• Healthy healing care services llc Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tiera L Evans

  • Behavior Technician
  • Belleville, IL
  • NPI 1033872387
  NPD Authorized official

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

{
    "created_epoch": "1638489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638489600000",
    "number": "1477211720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 E E ST",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622201226",
            "telephone_number": "618-558-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 E E ST",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622201226",
            "telephone_number": "618-558-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY HEALING CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-03",
        "last_updated": "2021-12-03",
        "certification_date": "2021-12-03",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "TIERA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "THERAPEUTIC HEALTHCARE ASSISTANCE",
        "authorized_official_telephone_number": "618-558-1777"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthy healing care services llc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2021; 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.