Heavenly Home Care LLC
Home Health in Stone Mountain, GA. Organization (NPI-2).
NPI number1184366346
StatusActive
Last updated in NPPESApr 8, 2022
Details
- NPI
- 1184366346
- Entity type
- Organization (NPI-2)
- Legal business name
- Heavenly Home Care LLC
- Organization subpart
- No
- Enumeration date
- Apr 8, 2022
- Certification date
- Apr 8, 2022
- Last updated
- Apr 8, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | – | – | Yes |
Practice location
776 Whitman CtStone Mountain, GA 30083-2491
Phone 678-974-5494
Mailing address
776 Whitman CtStone Mountain, GA 30083-2491
Authorized official
Lynne Robinson
Owner
6789745494
Is something wrong?
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All 69 Home Health Agency providers in Stone Mountain · All 1,438 providers in Stone Mountain
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