Organization Active NPI

Heavenly Touch Personal Care

  • Health Service Clinic/Center
  • Shreveport, LA
National Provider Identifier
1619355955
Registry record updated May 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
HEAVENLY TOUCH PERSONAL CARE
Practice address
235 Olive St
Shreveport, LA 71104-2415
Phone
(318) 344-1417
NPI assigned
May 7, 2015
Last updated
May 7, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2015

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

Authorized official

Name
Ms. Nyquila Monea Kilgore
Title
Owner
Phone
(318) 344-1417

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X LA Primary

Addresses

Primary practice location

235 Olive St
Shreveport, LA 71104-2415

Mailing address

235 Olive St
Shreveport, LA 71104-2415
Phone (318) 344-1417

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1430956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430956800000",
    "number": "1619355955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 OLIVE ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711042415",
            "telephone_number": "318-344-1417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 OLIVE ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711042415",
            "telephone_number": "318-344-1417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY TOUCH PERSONAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-07",
        "last_updated": "2015-05-07",
        "status": "A",
        "authorized_official_last_name": "KILGORE",
        "authorized_official_first_name": "NYQUILA",
        "authorized_official_middle_name": "MONEA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-344-1417",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2015; 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.