HEAVENLY MEDICAL SUPPLY (NPI# 1447497425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447497425 |
| Entity Type | Organization |
| Organization Name | HEAVENLY MEDICAL SUPPLY |
| Practice Address |
6349 Estates Dr Bastrop LA 71220-9749 |
| Practice Telephone | 3182831210 |
| Enumeration Date | 2009-01-13 |
| Last Update Date | 2009-01-13 |
| Authorized Official Name | CLAUDIA DENICE HARRIS (MEDICAL SUPPLIER) |
| Authorized Official Telephone | 3182831210 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320700000X | Residential Treatment Facility, Physical Disabilities | Residential Treatment Facilities |
| Street Address |
6349 ESTATES DR |
| City | BASTROP |
| State | LA |
| Zip Code | 71220-9749 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538432943 | Love for Others Non Medical Transportation | Non-emergency Medical Transport (VAN) | 6349 Estates Dr, Bastrop, LA 71220-9749 | 2012-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952935983 | Broken Wings Recovery Center, LLC | Substance Abuse Rehabilitation Facility | 2869 New Monroe Road, Bastrop, LA 71220 | 2020-02-28 |
| 1275002685 | Hulin Urgent Care Services, LLC | Clinic/Center | 2100 East Madison Avenue, Bastrop, LA 71220 | 2018-11-14 |
| 1023594975 | Shuntel Ramona Johnson | Counselor | 8891 Holley Farm Road, Bastrop, LA 71220 | 2018-07-13 |
| 1376050526 | Kevin Hubbard | Case Manager/Care Coordinator | 9409 Willow Dr, Bastrop, LA 71220 | 2018-01-09 |
| 1265957229 | Alma Holmes | Behavioral Analyst | 644 E. Jefferson Ave, Bastrop, LA 71220 | 2017-08-10 |
| 1427570886 | Jennifer Rochelle Glosson | Counselor | 410 S. Franklin St, Bastrop, LA 71220 | 2017-07-07 |
| 1386179307 | Total Divine Care LLC | Community/Behavioral Health | 1840 North Washington Street, Bastrop, LA 71220 | 2017-04-27 |
| 1538609524 | Tyrra Watkins | Counselor | 10599 Parkwood Dr, Bastrop, LA 71220 | 2017-02-24 |
| 1528502119 | Oatie Brooks | Counselor | 813 Mccreight Street, Bastrop, LA 71220 | 2016-12-15 |
| 1487197810 | Valencia Reese | Counselor | 10434 Boswell St, Bastrop, LA 71220 | 2016-12-03 |
| Find all providers in zip 71220 | ||||
| Taxonomy Code | 320700000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Physical Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578948055 | Jackson Home Health | Residential Treatment Facility, Physical Disabilities | 111 Pecan Lake Estate Rd, Monroe, LA 71203-9383 | 2015-07-24 |
| 1154615086 | Brenda Joan Brannon | Residential Treatment Facility, Physical Disabilities | 116 Dogwood Dr, Winnfield, LA 71483-5000 | 2011-06-08 |
| 1225289382 | Loving Hands Assisted Living | Residential Treatment Facility, Physical Disabilities | 203 Nottingham Ln, Slidell, LA 70461-3311 | 2008-10-08 |
| 1063600369 | Frances Special Services, Inc | Residential Treatment Facility, Physical Disabilities | 418 E Magnolia St, Amite, LA 70422-3106 | 2007-10-11 |
| 1255535530 | Hannie Rehab L.l.c | Residential Treatment Facility, Physical Disabilities | 203 Rue Fountaine, Lafayette, LA 70508-5775 | 2007-06-12 |
| 1740713700 | Helping The Sick N Shut In of Noth La | Residential Treatment Facility, Physical Disabilities | 5342 Broadway Ave, Shreveport, LA 71109-7210 | 2017-04-06 |
| 1326235565 | Shekinah Glory | Residential Treatment Facility, Physical Disabilities | 3613 Government St, Baton Rouge, LA 70806-5721 | 2007-10-02 |
| 1013107689 | Partners for Health Community Services, Inc | Residential Treatment Facility, Physical Disabilities | 6547 N Foster Dr, Baton Rouge, LA 70811-6115 | 2007-07-30 |
Please comment or provide details below to improve the information on HEAVENLY MEDICAL SUPPLY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.