Heavenly Angels Community Living, Inc.

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

Legal business name

HEAVENLY ANGELS COMMUNITY LIVING, INC.

Practice address

704 W Main St
Okolona, MS 38860-1627

Phone

(662) 295-6514

NPI assigned

Nov 14, 2024

Last updated

Sep 1, 2026By 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

Mr. Jerome Walker

Title

Director

Phone

(662) 295-6514

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1731542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788220800000",
    "number": "1891519872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 W MAIN ST",
            "city": "OKOLONA",
            "state": "MS",
            "postal_code": "388601627",
            "telephone_number": "662-295-6514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 W MAIN ST",
            "city": "OKOLONA",
            "state": "MS",
            "postal_code": "388601627",
            "telephone_number": "662-295-6514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY ANGELS COMMUNITY LIVING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-14",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "JEROME",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "662-295-6514",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joy S Chapman, NP
• Chickasaw FMC
• Family Medical Clinic of Okolona
• Shatessie Marie Ford, CRT
• Harley's Home Care
• Whitley Breanna Hill, EN
• Hodges Adult Day Care Service Inc
• Hometown Care of North Mississippi, Inc
• Shelby Hood, SLP
• Khandra Aries Ivy

• Nursing Facility/Intermediate Care Facility in Okolona, MS
• Providers in Okolona, MS by specialty
• Nursing Facility/Intermediate Care Facility in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; 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.