Heaven Sent Adult Daycare Center

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

Legal business name

HEAVEN SENT ADULT DAYCARE CENTER

Practice address

5 Innwood Cir Ste 110
Little Rock, AR 72211-2499

Phone

(501) 313-2961

Fax

(501) 904-2196

NPI assigned

Jul 26, 2019

Organization subpart

No

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

Authorized official

Name

Lynn Danette Walls, REGISTERED NURSE

Title

RN/Administrator

Phone

(501) 313-2961

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1564099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600387200000",
    "number": "1508410648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 INNWOOD CIR STE 110",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722112499",
            "telephone_number": "501-313-2961",
            "fax_number": "501-904-2196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 INNWOOD CIR STE 110",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722112499",
            "telephone_number": "501-313-2961",
            "fax_number": "501-904-2196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVEN SENT ADULT DAYCARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-26",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A",
        "authorized_official_last_name": "WALLS",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "DANETTE",
        "authorized_official_title_or_position": "RN/ADMINISTRATOR",
        "authorized_official_telephone_number": "501-313-2961",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Administrator",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Administrator Registered Nurse in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Administrator Registered Nurse in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2020; 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.