Heavenly Assisted Care, Llc
LBN: Heavenly Assisted Care, Llc
Heavenly Assisted Care, Llc is an health care organization with primary practice located at 10555 Aspenwood Ct , Jonesboro GA 30238. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty.
Heavenly Assisted Care, Llc can be contacted via phone (404) 713-4982, or through Kimes, Heavenly E. via phone (678) 625-7505.
Contact Information
Primary practice address
10555 Aspenwood Ct
Jonesboro GA 30238
Phone: (404) 713-4982
Fax: (678) 413-2491
Website:
Authorized official contact:
Name: Kimes, Heavenly E. Doctor of Dental Surgery (DDS)
Phone: (678) 625-7505
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320600000X | DN012304 | Georgia |
Profile Details
| NPI number | 1518297175 |
|---|---|
| LBN Legal business name | Heavenly Assisted Care, Llc |
| DBA Doing business as | |
| Authorized official | Kimes, Heavenly E. Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 5th, 2010 |
| Last updated | Jan 7th, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518297175 | NPPES |
| Georgia | MEDICAID | 481264351A |
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