Organization Active NPI

Heavenly Touch Homecare LLC

  • Hemodialysis Registered Nurse
  • Jackson, MS
National Provider Identifier
1508369760
Registry record updated Mar 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hemodialysis Registered NurseTaxonomy code 163WH0500X
Legal business name
HEAVENLY TOUCH HOMECARE LLC
Practice address
2230 Newport St
Jackson, MS 39213-5436
Phone
(601) 214-9881
NPI assigned
Mar 14, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2018

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

Authorized official

Name
Deadre Thompson
Title
RN/ Owner
Phone
(601) 214-9881

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hemodialysis Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WH0500X Primary
Ostomy Care Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WX1500X

Addresses

Primary practice location

2230 Newport St
Jackson, MS 39213-5436

Mailing address

2230 Newport St
Jackson, MS 39213-5436

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1520985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520985600000",
    "number": "1508369760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 NEWPORT ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392135436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 NEWPORT ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392135436",
            "telephone_number": "601-214-9881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY TOUCH HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-14",
        "last_updated": "2018-03-14",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "DEADRE",
        "authorized_official_title_or_position": "RN/ OWNER",
        "authorized_official_telephone_number": "601-214-9881"
    },
    "taxonomies": [
        {
            "code": "163WH0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Hemodialysis",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "163WX1500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Ostomy Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2018; 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.