Organization Active NPI

The Heavenly Oak Adult Day Care

  • Adult Care Home Facility
  • Stanton, TN
National Provider Identifier
1871838466
Registry record updated Dec 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
THE HEAVENLY OAK ADULT DAY CARE
Practice address
8 Oak Street
Stanton, TN 38069-3417
Phone
(731) 548-6555
NPI assigned
Dec 7, 2012
Last updated
Dec 7, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2012

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

Authorized official

Name
Mrs. Barbara Rice Hudson
Title
Owner/Director
Phone
(731) 548-6555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X TN Primary

Addresses

Primary practice location

8 Oak Street
Stanton, TN 38069-3417

Mailing address

2695 Stanton Koko Rd
Stanton, TN 38069-3417
Phone (731) 548-6704

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1354838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354838400000",
    "number": "1871838466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2695 STANTON KOKO RD",
            "city": "STANTON",
            "state": "TN",
            "postal_code": "380693417",
            "telephone_number": "731-548-6704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 OAK STREET",
            "city": "STANTON",
            "state": "TN",
            "postal_code": "380693417",
            "telephone_number": "731-548-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HEAVENLY OAK ADULT DAY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-07",
        "last_updated": "2012-12-07",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "RICE",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "731-548-6555",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanton, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2012; 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.