Heavenly Arms Llc

LBN: Heavenly Arms Llc
Heavenly Arms Llc is an health care organization with primary practice located at 2470 Emerald Pl Suite D, Greenville NC 27834-5786. The organization recently has 2 registered licenses in different health care specialties including Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness is the primary health care specialty. Heavenly Arms Llc can be contacted via phone (252) 752-3211, or through Moore, Daniel Gabriel via phone (252) 752-3211.

Contact Information

Primary practice address
2470 Emerald Pl Suite D Greenville NC 27834-5786
Phone: (252) 752-3211
Fax: (252) 752-3211
Website:
Map and Directions
Authorized official contact:
Name: Moore, Daniel Gabriel
Phone: (252) 752-3211

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X MHL-074-164 North Carolina
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X 88301613B North Carolina

Profile Details

NPI number 1437246345
LBN Legal business name Heavenly Arms Llc
DBA Doing business as
Authorized official Moore, Daniel Gabriel
Entity Organization
Organization subpart 1 No
Enumeration date Oct 10th, 2006
Last updated May 5th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437246345 NPPES
North Carolina MEDICAID 8301613G
North Carolina Other MHL-074-164
North Carolina MEDICAID 8601613B

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