Heavenly Gates Relaxation LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

HEAVENLY GATES RELAXATION LLC

Practice address

8539 Monroe Rd
Suite 125
Charlotte, NC 28212-7510

Phone

(704) 337-9556

NPI assigned

Mar 16, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Andrea V. Rankin, LMTB

Title

Owner/ Therapist

Phone

(980) 337-9556

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1458086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458086400000",
    "number": "1669833729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8539 MONROE RD",
            "address_2": "SUITE 125",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282127510",
            "telephone_number": "704-337-9556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8539 MONROE RD",
            "address_2": "SUITE 125",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282127510",
            "telephone_number": "704-337-9556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY GATES RELAXATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-16",
        "last_updated": "2016-03-16",
        "status": "A",
        "authorized_official_last_name": "RANKIN",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "OWNER/ THERAPIST",
        "authorized_official_telephone_number": "980-337-9556",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMTB"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC BOARD OF MASSAGE AND BODY WORKS",
            "identifier": "14809",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2016; 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.