Organization Active NPI

Heavenlynails

  • Adult Care Home Facility
  • Houston, TX
National Provider Identifier
1942641410
Registry record updated Jul 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
HEAVENLYNAILS
Practice address
1406 Cypress Station Dr
# 1406
Houston, TX 77090
Phone
(214) 641-6338
NPI assigned
Jul 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2013

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

Authorized official

Name
Ms. Vicki Rochelle Martin, LICENSED
Title
Wound and Skin Care
Phone
(214) 641-6338

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X
Adult Care Home Facility 311ZA0620X Primary
Nursing Facility Supplies (DME) 332BN1400X

Addresses

Primary practice location

1406 Cypress Station Dr
# 1406
Houston, TX 77090

Mailing address

601 Cypress Station Dr
# 1406
Houston, TX 77090-1507
Phone (214) 641-6338

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1373587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373587200000",
    "number": "1942641410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 CYPRESS STATION DR",
            "address_2": "# 1406",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770901507",
            "telephone_number": "214-641-6338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 CYPRESS STATION DR",
            "address_2": "# 1406",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77090",
            "telephone_number": "214-641-6338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLYNAILS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-12",
        "last_updated": "2013-07-12",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "VICKI",
        "authorized_official_middle_name": "ROCHELLE",
        "authorized_official_title_or_position": "WOUND AND SKIN CARE",
        "authorized_official_telephone_number": "214-641-6338",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LICENSED"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2013; 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.