Heavenly Transportation LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

HEAVENLY TRANSPORTATION LLC

Practice address

8562 Goswell Dr
Jonesboro, GA 30238-7044

Phone

(678) 851-8010

NPI assigned

May 16, 2023

Organization subpart

No

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

Authorized official

Name

Nikke Wood

Title

Supervisor

Phone

(678) 851-8010

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1684195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684195200000",
    "number": "1770274169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8562 GOSWELL DR",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302387044",
            "telephone_number": "678-851-8010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8562 GOSWELL DR",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302387044",
            "telephone_number": "678-851-8010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-16",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "NIKKE",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "678-851-8010"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Jonesboro, GA
• Providers in Jonesboro, GA by specialty
• Non-emergency Medical Transport (VAN) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; 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.