HEAVENLY ARMS LLC NPI 1437246345

NPI Information

NPI: 1437246345
Provider Name: HEAVENLY ARMS LLC
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
2470 EMERALD PL
SUITE D
GREENVILLE, NC
ZIP 27834
Phone: (252) 752-3211
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HEAVENLY ARMS LLC is a community based residential treatment facility mental illness in Greenville, NC. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. HEAVENLY ARMS LLC NPI is 1437246345. The provider is registered as an organization entity type.

The provider's business location address is:

2470 EMERALD PL
SUITE D
GREENVILLE, NC
ZIP 27834-786
Phone: (252) 752-3211
Fax: (252) 752-3211

The provider's authorized official is Daniel Gabriel Moore .
The authorized official title is Ceo and has the following contact phone number (252) 752-3211.

The enumeration date for this NPI number is 10/10/2006 and was last updated on 5/5/2008.

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	320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities		MHL-074-164	NORTH CAROLINA	No
2	320800000X	Community Based Residential Treatment Facility, Mental Illness		88301613B	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	8301613G	MEDICAID	NORTH CAROLINA
2	MHL-074-164	OTHER	NORTH CAROLINA	DFS LICENSE NUMBER
3	8601613B	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

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