HEAVENLY ARMS ASSISTED LIVING (NPI# 1275898363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275898363 |
| Entity Type | Organization |
| Organization Name | HEAVENLY ARMS ASSISTED LIVING |
| Practice Address |
11230 Highway 278 E Covington GA 30014-1673 |
| Practice Telephone | 6783427537 |
| Mailing Telephone | 6783427537 |
| Enumeration Date | 2012-07-05 |
| Last Update Date | 2012-07-05 |
| Authorized Official Name | VIDA A THOMPSON (OWNER) |
| Authorized Official Telephone | 6783427537 |
| Authorized Official Credential | PN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3104A0630X |
Assisted Living Facility Specialization: Assisted Living, Behavioral Disturbances |
PCH004274 | GA | Nursing & Custodial Care Facilities |
| Street Address |
11230 HIGHWAY 278 E |
| City | COVINGTON |
| State | GA |
| Zip Code | 30014-1673 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396046355 | Heavenly Arms Assisted Living, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11230 Highway 278 E, Covington, GA 30014-1673 | 2010-11-08 |
| 1699013714 | Heavenly Arms Assisted Living Personal Care Home | Nursing Care | 11230 Highway 278 E, Covington, GA 30014-1673 | 2013-01-24 |
| 1134467251 | Heavenly Arms Assisted Living Personal Care Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11230 Highway 278 E, Covington, GA 30014-1673 | 2013-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801495635 | Cathy Cassandra Collins | Pharmacist | 3639 Hwy 278, Covington, GA 30014 | 2020-10-22 |
| 1154933877 | Atl Optical LLC | Optometrist | 3135 Highway 278 Ne, Covington, GA 30014 | 2020-08-24 |
| 1932737046 | Samagas House Org | Adult Companion | 1500 Mountain View Cirlcle, Conyers, GA 30014 | 2020-04-01 |
| 1356834360 | Covington Dental Care | Dentist | 4139 Baker Street, Suite 15, Covington, GA 30014 | 2018-06-13 |
| 1487190005 | New Avenues Assessment and Counseling Center LLC | Counselor | 3192 Spring Street, Covington, NEWTON 30014 | 2017-01-07 |
| 1275903973 | Jennifer Carol Bridges | Registered Nurse | 320 Malcom Lane, Covington, GA 30014 | 2015-10-07 |
| 1134598501 | Shelby Boggus King | Physician Assistant | 4181 Hospital Drive Ne, Suite 204, Covington, GA 30014 | 2015-09-16 |
| 1366829814 | Wendy Pazdur | Counselor | 5109 Hwy 278 East, Suite D, Covington, GA 30014 | 2015-05-05 |
| 1306235445 | Covington Center for Family Dentistry | Dentist | 10373 Industrial Blvd, Covington, GA 30014 | 2015-01-13 |
| 1992103428 | Modern Cosmetic Dental Care, LLC | Clinic/Center | 1750 Highway 11, Suite B, Covington, GA 30014 | 2014-12-16 |
| Find all providers in zip 30014 | ||||
| Taxonomy Code | 3104A0630X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Behavioral Disturbances |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689202681 | Pt Hills Place Terraces LLC | Assisted Living Facility | 229 Peachtree Hills Place, Atlanta, GA 30305 | 2020-03-27 |
| 1477180883 | A Certain Lad Ministries Inc. | Assisted Living Facility | 693 Shannon Way, Lawrenceville, GA 30044-6310 | 2020-03-25 |
| 1174067276 | Care of Latrelle, LLC | Assisted Living Facility | 127 Waverly Way, Savannah, GA 31407-5032 | 2016-12-07 |
| 1760827190 | Distinctively Yours of Georgia, Inc | Assisted Living Facility | 8435 Magnolia Dr, Jonesboro, GA 30238-3132 | 2013-04-29 |
| 1407191257 | Litchfield Homes LLC | Assisted Living Facility | 4925 Bridle Point Pkwy, Snellville, GA 30039-3343 | 2012-12-05 |
| 1104118108 | Beth'el Personal Care Home | Assisted Living Facility | 4327 Webb Meadows Dr, Loganville, GA 30052-7579 | 2011-05-09 |
| 1003117615 | The Mary Washington Assisted Living Home, Inc | Assisted Living Facility | 590 Mountain Oaks Pkwy, Stone Mountain, GA 30087-4732 | 2010-11-12 |
| 1114121845 | Lake Oconee Assisted Living Home | Assisted Living Facility | 105 Wilson St, Greensboro, GA 30642-1426 | 2007-06-14 |
| 1508151176 | Georgia Residential and Community Healthcare, Inc | Assisted Living Facility | 5644 Hunters Crossing Ct, Lithonia, GA 30038-1529 | 2011-06-12 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.