Heavenly Homecare Services

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

HEAVENLY HOMECARE SERVICES

Practice address

4980 Villager LN
Stone Mountain, GA 30083-3698

Phone

(678) 362-4708

NPI assigned

Feb 3, 2014

Organization subpart

No

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

Authorized official

Name

Tameka Lasean Williams

Title

Owner

Phone

(678) 362-4708

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1391385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391385600000",
    "number": "1902229453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4980 VILLAGER LN",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300833698",
            "telephone_number": "678-362-4708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4980 VILLAGER LN",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300833698",
            "telephone_number": "678-362-4708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY HOMECARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-03",
        "last_updated": "2014-02-03",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "TAMEKA",
        "authorized_official_middle_name": "LASEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-362-4708"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Healthy USA Company LLC
• Tiffany Heard
• Hearthstone Home Care Services LLC
• Candace Heath
• Heavenly Home Care LLC
• Teheran M Height Sr., LMT, NMT
• Hencock Chiropractic LLC
• Alvin Henderson
• Amber Marie Henry
• Christopher Lamar Herans

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Stone Mountain, GA
• Providers in Stone Mountain, GA by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.