Highway to Heaven LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

HIGHWAY TO HEAVEN LLC

Practice address

152 Edge Road
Doerun, GA 31744

Phone

(229) 873-4674

NPI assigned

Apr 24, 2013

Last updated

Apr 24, 2013By 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

Ms. Mildred Ann ThomasNPI 1770920829

Title

Owner

Phone

(229) 873-4674

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mildred A Thomas

  • Assisted Living Facility
  • Doerun, GA
  • NPI 1770920829
  NPD (past) Authorized official

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

{
    "created_epoch": "1366761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366761600000",
    "number": "1962846600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 606",
            "city": "DOERUN",
            "state": "GA",
            "postal_code": "31744",
            "telephone_number": "229-873-4674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 EDGE ROAD",
            "city": "DOERUN",
            "state": "GA",
            "postal_code": "31744",
            "telephone_number": "229-873-4674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHWAY TO HEAVEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-24",
        "last_updated": "2013-04-24",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "MILDRED",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-873-4674",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Doerun, GA
• Providers in Doerun, GA by specialty
• Assisted Living Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.