The Deheavenly Home, LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

THE DEHEAVENLY HOME, LLC

Practice address

1006 8TH St
Altavista, VA 24517-1506

Phone

(434) 251-3466

NPI assigned

Jun 7, 2023

Last updated

Jun 7, 2023By 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

Zakiyah Pannell, LPN

Title

Ceo

Phone

(434) 251-3466

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1686096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686096000000",
    "number": "1932893369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 DOGWOOD LN",
            "city": "ALTAVISTA",
            "state": "VA",
            "postal_code": "245171013",
            "telephone_number": "434-251-3466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 8TH ST",
            "city": "ALTAVISTA",
            "state": "VA",
            "postal_code": "245171506",
            "telephone_number": "434-251-3466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DEHEAVENLY HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-07",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A",
        "authorized_official_last_name": "PANNELL",
        "authorized_official_first_name": "ZAKIYAH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "434-251-3466",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Developmentally Disabled Services Day Training Agency in Altavista, VA
• Providers in Altavista, VA by specialty
• Developmentally Disabled Services Day Training Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; 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.