Organization Active NPI

Heavenly Hope Medical, LLC

  • Durable Medical Equipment & Medical Supplies
  • Cayce, SC
National Provider Identifier
1487074043
Registry record updated Sep 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
032462479 Issued in SC
Legal business name
HEAVENLY HOPE MEDICAL, LLC
Practice address
989 Knox Abbott Dr
Ste 111
Cayce, SC 29033-3346
Phone
(803) 580-1965
Fax
(803) 939-1702
NPI assigned
Apr 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2014

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

Authorized official

Name
Ms. Sherri Valle
Title
Owner
Phone
(803) 939-1701

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 032462479 SC Primary

Addresses

Primary practice location

989 Knox Abbott Dr
Ste 111
Cayce, SC 29033-3346

Mailing address

989 Knox Abbott Dr
Ste 111
Cayce, SC 29033-3346
Phone (803) 939-1701

National Provider Directory

National Provider Directory

Locations

989 Knox Abbott Dr
Ste 111
Cayce, SC 29033
Phone (803) 233-3199

NPI Registry JSON

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

{
    "created_epoch": "1398124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410134400000",
    "number": "1487074043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "989 KNOX ABBOTT DR",
            "address_2": "STE 111",
            "city": "CAYCE",
            "state": "SC",
            "postal_code": "290333346",
            "telephone_number": "803-939-1701",
            "fax_number": "803-939-1702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "989 KNOX ABBOTT DR",
            "address_2": "STE 111",
            "city": "CAYCE",
            "state": "SC",
            "postal_code": "290333346",
            "telephone_number": "803-580-1965",
            "fax_number": "803-939-1702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY HOPE MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-22",
        "last_updated": "2014-09-08",
        "status": "A",
        "authorized_official_last_name": "VALLE",
        "authorized_official_first_name": "SHERRI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-939-1701",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "SC",
            "license": "032462479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cayce, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2014; 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.