Active NPI
Heaven at Home Care
- Point of Service
- Kingsport, TN
National Provider Identifier
1528215183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Point of Service
- License
- 0068476
- 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, 2008
- 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
- Tracy Hall, RN
- Title
- Owner
- Phone
- (423) 646-9873
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.