Heavenly Healthcare Agency, Inc.

LBN: Heavenly Healthcare Agency, Inc.
Heavenly Healthcare Agency, Inc. is an health care organization with primary practice located at 503 W Mcgee St , Greensboro NC 27401-2702. The organization recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as the primary health care specialty. Heavenly Healthcare Agency, Inc. can be contacted via phone (336) 230-0808, or through Fulton, Antoinetta D via phone (336) 230-0808.

Contact Information

Primary practice address
503 W Mcgee St Greensboro NC 27401-2702
Phone: (336) 230-0808
Fax: (336) 230-0842
Website:
Map and Directions
Authorized official contact:
Name: Fulton, Antoinetta D
Phone: (336) 230-0808

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X HC2337 North Carolina

Profile Details

NPI number 1326138397
LBN Legal business name Heavenly Healthcare Agency, Inc.
DBA Doing business as
Authorized official Fulton, Antoinetta D
Entity Organization
Organization subpart 1 No
Enumeration date Oct 13th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1326138397 NPPES
North Carolina MEDICAID 6600937
North Carolina MEDICAID 3409611

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