NPIMap

Organization Active NPI

Heaven Hands Home Care Agency

  • Home Health Agency
  • Raleigh, NC
National Provider Identifier
1649651308
Registry record updated Jun 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC4597 Issued in NC
Legal business name
HEAVEN HANDS HOME CARE AGENCY
Doing business as
Heaven
Practice address
6208 N Hills Dr Apt H
Raleigh, NC 27609-2883
Phone
(919) 332-9486
NPI assigned
Jun 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2015

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

Authorized official

Name
Mavis Lane
Title
President
Phone
(919) 332-9486

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC4597 NC Primary

Addresses

Primary practice location

6208 N Hills Dr Apt H
Raleigh, NC 27609-2883

Mailing address

6208 N Hills Dr Apt H
Raleigh, NC 27609-2883
Phone (919) 332-9486

Other names 1

  • Heaven Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1434499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434499200000",
    "number": "1649651308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6208 N HILLS DR APT H",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276092883",
            "telephone_number": "919-332-9486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6208 N HILLS DR APT H",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276092883",
            "telephone_number": "919-332-9486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVEN HANDS HOME CARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-17",
        "last_updated": "2015-06-17",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "MAVIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-332-9486"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC4597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heaven",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.