Organization Active NPI

Heavenly Hands Assisted Living, Inc

  • Assisted Living Facility
  • Cape Coral, FL
National Provider Identifier
1902397854
Registry record updated May 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
13175 Issued in FL
Legal business name
HEAVENLY HANDS ASSISTED LIVING, INC
Practice address
1909 NW 12TH Ave
Cape Coral, FL 33993-3971
Phone
(786) 346-1292
NPI assigned
May 27, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2018

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

Authorized official

Name
Mr. William Leroy Wilcox Jr.
Title
Administrator
Phone
(239) 691-0686

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 13175 FL Primary

Addresses

Primary practice location

1909 NW 12TH Ave
Cape Coral, FL 33993-3971

Mailing address

1909 NW 12TH Ave
Cape Coral, FL 33993-3971
Phone (239) 691-0686

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1527379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527379200000",
    "number": "1902397854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 NW 12TH AVE",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339933971",
            "telephone_number": "239-691-0686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 NW 12TH AVE",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339933971",
            "telephone_number": "786-346-1292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY HANDS ASSISTED LIVING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-27",
        "last_updated": "2018-05-27",
        "status": "A",
        "authorized_official_last_name": "WILCOX",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "LEROY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "239-691-0686",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "13175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2018; 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.