Organization Active NPI

Heavenly Hands Home Care LLC

  • Durable Medical Equipment & Medical Supplies
  • Sumter, SC
National Provider Identifier
1528811478
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
HEAVENLY HANDS HOME CARE LLC
Practice address
214 W Liberty St Ste 2
Sumter, SC 29150-5181
Phone
(803) 938-5759
Fax
(803) 938-5759
NPI assigned
Apr 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Authorized official

Name
Stacy Joenetta Vaughn
Title
Ower
Phone
(803) 565-0691

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

214 W Liberty St Ste 2
Sumter, SC 29150-5181

Mailing address

214 W Liberty St Ste 2
Sumter, SC 29150-5181
Phone (803) 938-5759

Other names 2

  • Heavenly Hands Home Care LLC Doing business as
  • Heavenly Hands Home Care Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1712707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712707200000",
    "number": "1528811478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 W LIBERTY ST STE 2",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291505181",
            "telephone_number": "803-938-5759",
            "fax_number": "803-938-5759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 W LIBERTY ST STE 2",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291505181",
            "telephone_number": "803-938-5759",
            "fax_number": "803-938-5759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY HANDS HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-10",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A",
        "authorized_official_last_name": "VAUGHN",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "JOENETTA",
        "authorized_official_title_or_position": "OWER",
        "authorized_official_telephone_number": "803-565-0691"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heavenly Hands Home Care LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Heavenly Hands Home Care",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Sumter, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; 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.