Organization Active NPI

Heavenly Hand Services, LLC

Doing business as Heavenly Hands Services, LLC

  • Home Health Agency
  • De Kalb, MS
National Provider Identifier
1508553454
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HEAVENLY HAND SERVICES, LLC
Doing business as
Heavenly Hands Services, LLC
Practice address
14062 Highway 16 W
De Kalb, MS 39328-7922
Phone
(601) 894-1120
Fax
(844) 270-3071
NPI assigned
Apr 20, 2023
Last updated
Oct 18, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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

Authorized official

Name
Carol P Newton, ED. S.NPI 1083128698
Title
Executive Director
Phone
(601) 894-1120

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Assisted Living Facility 310400000X
Adult Care Home Facility 311ZA0620X
Respite Care 385H00000X

Addresses

Primary practice location

14062 Highway 16 W
De Kalb, MS 39328-7922

Mailing address

16165 Highway 51
Hazlehurst, MS 39083-2002
Phone (601) 894-1120

Other names 1

  • Heavenly Hands Services, LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Heavenly Hand Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

14062 Highway 16 W
De Kalb, MS 39328
Phone (601) 894-1120

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1681948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697587200000",
    "number": "1508553454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16165 HIGHWAY 51",
            "city": "HAZLEHURST",
            "state": "MS",
            "postal_code": "390832002",
            "telephone_number": "601-894-1120",
            "fax_number": "844-270-3071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14062 HIGHWAY 16 W",
            "city": "DE KALB",
            "state": "MS",
            "postal_code": "393287922",
            "telephone_number": "601-894-1120",
            "fax_number": "844-270-3071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY HAND SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-20",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A",
        "authorized_official_last_name": "NEWTON",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "601-894-1120",
        "authorized_official_credential": "ED. S."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heavenly Hands Services, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in De Kalb, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; 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.