HDK LLC

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Legal business name

HDK LLC

Doing business as

Heavenly Healing Services

Practice address

118 Pebblestone Dr
Beckley, WV 25801-9524

Phone

(304) 237-4836

NPI assigned

Feb 1, 2013

Last updated

Mar 23, 2013By 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

Mr. Austin D. LillyNPI 1609299312

Title

Organizer

Phone

(304) 237-4836

Specialties & licenses 1

Addresses

Other names 1

• Heavenly Healing Services Doing business as

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.

• Austin D Lilly

  • Private Vehicle
  • Beckley, WV
  • NPI 1609299312
  NPD (past) Authorized official

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

{
    "created_epoch": "1359676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363996800000",
    "number": "1477892180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 PEBBLESTONE DR",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258019524",
            "telephone_number": "304-237-4836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 PEBBLESTONE DR",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258019524",
            "telephone_number": "304-237-4836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HDK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-01",
        "last_updated": "2013-03-23",
        "status": "A",
        "authorized_official_last_name": "LILLY",
        "authorized_official_first_name": "AUSTIN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "ORGANIZER",
        "authorized_official_telephone_number": "304-237-4836",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heavenly Healing Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lucinda Marie Haynes
• Phillip Wane Hayworth, LGSW
• Marion Hazelwood
• Zechari James Hazelwood, MA, AADC-S, CCJP
• Hcma Consultants, Inc (Doctors Immedicare)
• Health Admix
• Health Care Alliance, Inc.
• Shereilla Hearn
• Heart & Vascular Medical Center PLLC
• Heartland Leasing Co., LLC (Beckley Healthcare Center)

• Community Health Worker in Beckley, WV
• Providers in Beckley, WV by specialty
• Community Health Worker in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2013; 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.