Organization Active NPI

Heaven Cynt Services LLC

  • Home Health Agency
  • Jackson, MS
National Provider Identifier
1881088847
Registry record updated Apr 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HEAVEN CYNT SERVICES LLC
Practice address
4632 N State St
Jackson, MS 39206-5433
Phone
(601) 668-6994
NPI assigned
Mar 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2015

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

Authorized official

Name
Trista L D Moore
Title
Ceo
Phone
(601) 398-1516

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4632 N State St
Jackson, MS 39206-5433

Mailing address

PO Box 1076
Clinton, MS 39060-1076
Phone (601) 668-6994

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1427328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428278400000",
    "number": "1881088847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1076",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390601076",
            "telephone_number": "601-668-6994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4632 N STATE ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392065433",
            "telephone_number": "601-668-6994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVEN CYNT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-26",
        "last_updated": "2015-04-06",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "TRISTA",
        "authorized_official_middle_name": "L D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "601-398-1516"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.