Active NPI
Heavenly Sent Incontinence Supply
- Durable Medical Equipment & Medical Supplies
- Corpus Christi, TX
National Provider Identifier
1902077076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 0101990
- Legal business name
- HEAVENLY SENT INCONTINENCE SUPPLY
- Practice address
- 5959 S Staples St
Suite 104
Corpus Christi, TX 78413-3846 - Phone
- (361) 442-0720
- NPI assigned
- Mar 17, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marisela D. Salas
- Title
- Owner
- Phone
- (361) 442-0720
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 0101990 | TX | Primary |
Addresses
Primary practice location
5959 S Staples St
Suite 104
Corpus Christi, TX 78413-3846
Mailing address
5959 S Staples St
Suite 104
Corpus Christi, TX 78413-3846
Phone (361) 442-0720
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0101990 | Other | TX | DEVICE DISTRIBUTOR |
National Provider Directory
National Provider DirectoryLocations
5959 S Staples St
Ste 104
Corpus Christi, TX 78413
Phone (361) 442-0720
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Corpus Christi, TX
- NPI 1306064407
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205712000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205712000000",
"number": "1902077076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5959 S STAPLES ST",
"address_2": "SUITE 104",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784133846",
"telephone_number": "361-442-0720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5959 S STAPLES ST",
"address_2": "SUITE 104",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784133846",
"telephone_number": "361-442-0720"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEAVENLY SENT INCONTINENCE SUPPLY",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-17",
"last_updated": "2008-03-17",
"status": "A",
"authorized_official_last_name": "SALAS",
"authorized_official_first_name": "MARISELA",
"authorized_official_middle_name": "D.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "361-442-0720"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "TX",
"license": "0101990",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEVICE DISTRIBUTOR",
"identifier": "0101990",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Corpus Christi, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.