Organization Active NPI

Heavenly Sent

  • Home Health Agency
  • College Park, GA
National Provider Identifier
1760612071
Registry record updated Jul 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
CN0000016220 Issued in GA
Legal business name
HEAVENLY SENT
Practice address
6110 Hillandale Dr
College Park, GA 30349-4250
Phone
(678) 600-3787
NPI assigned
Jul 21, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2009

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

Authorized official

Name
Renae Walker
Title
President/Ceo
Phone
(678) 600-3787

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X CN0000016220 GA Primary

Addresses

Primary practice location

6110 Hillandale Dr
College Park, GA 30349-4250

Mailing address

6110 Hillandale Dr.
Collegepark, GA 30349-4250
Phone (678) 600-3787

Other names 1

  • Heavenly Sent Other 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": "1248134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248134400000",
    "number": "1760612071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6110 HILLANDALE DR.",
            "city": "COLLEGEPARK",
            "state": "GA",
            "postal_code": "303494250",
            "telephone_number": "678-600-3787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6110 HILLANDALE DR",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303494250",
            "telephone_number": "678-600-3787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY SENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-21",
        "last_updated": "2009-07-21",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "RENAE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "678-600-3787"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "CN0000016220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heavenly Sent",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in College Park, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2009; 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.