Organization Active NPI

Heaven at Home Care

  • Point of Service
  • Kingsport, TN
National Provider Identifier
1528215183
Registry record updated Aug 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
0068476 Issued in TN
Legal business name
HEAVEN AT HOME CARE
Practice address
524 W Carters Valley Rd
Kingsport, TN 37665-1008
Phone
(423) 646-9873
NPI assigned
Aug 25, 2008
Last updated
Aug 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2008

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

Authorized official

Name
Tracy Hall, RN
Title
Owner
Phone
(423) 646-9873

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X 0068476 TN Primary

Addresses

Primary practice location

524 W Carters Valley Rd
Kingsport, TN 37665-1008

Mailing address

524 W Carters Valley Rd
Kingsport, TN 37665-1008

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1219622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219622400000",
    "number": "1528215183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 W CARTERS VALLEY RD",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376651008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 W CARTERS VALLEY RD",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376651008",
            "telephone_number": "423-646-9873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVEN AT HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-25",
        "last_updated": "2008-08-25",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-646-9873",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "TN",
            "license": "0068476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsport, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2008; 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.