HEAVENLY HEALTHCARE AGENCY INC. NPI 1326138397

NPI Information

NPI: 1326138397
Provider Name: HEAVENLY HEALTHCARE AGENCY, INC.
Classification: Home Health Aide - 374U00000X
Entity Type: Organization
Address:
503 W MCGEE ST
GREENSBORO, NC
ZIP 27401
Phone: (336) 230-0808
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HEAVENLY HEALTHCARE AGENCY, INC. is a home health aide in Greensboro, NC. The provider is a person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. HEAVENLY HEALTHCARE AGENCY, INC. NPI is 1326138397. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

503 W MCGEE ST
GREENSBORO, NC
ZIP 27401-702
Phone: (336) 230-0808
Fax: (336) 230-0842

The provider's authorized official is Antoinetta D Fulton .
The authorized official title is Owner and has the following contact phone number (336) 230-0808.

The enumeration date for this NPI number is 10/13/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	374U00000X	Home Health Aide		HC2337	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	6600937	MEDICAID	NORTH CAROLINA
2	3409611	MEDICAID	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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