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HEAVENLY ARMS ASSISTED LIVING LLC NPI 1396046355


NPI Information

NPI: 1396046355
Provider Name: HEAVENLY ARMS ASSISTED LIVING, LLC
Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization
Address:
11230 HIGHWAY 278 E
COVINGTON, GA
ZIP 30014
Phone: (678) 342-7537
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HEAVENLY ARMS ASSISTED LIVING, LLC is a residential treatment facility, intellectual and/or developmental disabilities in Covington, GA. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. HEAVENLY ARMS ASSISTED LIVING, LLC NPI is 1396046355. The provider is registered as an organization entity type.

The provider's business location address is:

11230 HIGHWAY 278 E
COVINGTON, GA
ZIP 30014-673
Phone: (678) 342-7537
Fax: (678) 625-4216

The provider's authorized official is Vida Thompson .
The authorized official title is Ceo and has the following contact phone number (678) 342-7537.

The enumeration date for this NPI number is 11/8/2010 and was last updated on 11/8/2010.


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
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities107010431GEORGIANo
2320600000XResidential Treatment Facility, Intellectual and/or Developmental Disabilities107010431GEORGIAYes

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: 5/5/2024

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