Organization Active NPI

Heavenly Sent Incontinence Supply

  • Durable Medical Equipment & Medical Supplies
  • Corpus Christi, TX
National Provider Identifier
1902077076
Registry record updated Mar 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0101990 Issued in TX
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

Updated by the provider on Mar 17, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0101990OtherTXDEVICE DISTRIBUTOR

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.