Heavenly Health Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

2014013840 Issued in GA

Legal business name

HEAVENLY HEALTH CARE

Practice address

3242 Glynn Mill Dr
None
Snellville, GA 30039-6235

Phone

(404) 563-2952

NPI assigned

Aug 12, 2014

Last updated

Aug 12, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Linda Rodriguez

Title

Owner

Phone

(404) 563-2952

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1407801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407801600000",
    "number": "1891104105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3242 GLYNN MILL DR",
            "address_2": "NONE",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300396235",
            "telephone_number": "404-563-2952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3242 GLYNN MILL DR",
            "address_2": "NONE",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300396235",
            "telephone_number": "404-563-2952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-12",
        "last_updated": "2014-08-12",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-563-2952",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "2014013840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Snellville, GA
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• Home Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2014; 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.