Active NPI
Heavenly Touch Homecare LLC
- Hemodialysis Registered Nurse
- Jackson, MS
National Provider Identifier
1508369760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hemodialysis Registered Nurse
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Hemodialysis Registered Nurse | 163WH0500X | Primary | ||
| Ostomy Care Registered Nurse | 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 DirectoryNPI 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.