HEAVENLY TOUCH PERSONAL CARE (NPI# 1619355955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619355955 |
| Entity Type | Organization |
| Organization Name | HEAVENLY TOUCH PERSONAL CARE |
| Practice Address |
235 Olive St Shreveport LA 71104-2415 |
| Practice Telephone | 3183441417 |
| Mailing Telephone | 3183441417 |
| Enumeration Date | 2015-05-07 |
| Last Update Date | 2015-05-07 |
| Authorized Official Name | MS. NYQUILA MONEA KILGORE (OWNER) |
| Authorized Official Telephone | 3183441417 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
LA | Ambulatory Health Care Facilities |
| Street Address |
235 OLIVE ST |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71104-2415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326582263 | Dana Jackson | Counselor | 2425 Youree Drive, Shreveport, LA 71104 | 2016-12-12 |
| 1154772929 | Belena Cawthorne | Case Manager/Care Coordinator | 2040 Southern Ave, Shreveport, LA 71104 | 2016-06-23 |
| 1437505286 | Courtney Espenan | Counselor | 3825 Gilbert Dr Ste 124, Shreveport, LA 71104 | 2016-05-11 |
| 1215390497 | Joshua Mitchell | Counselor | 1106 Dalzell Street, Shreveport, LA 71104 | 2016-04-04 |
| 1699135426 | Amy Lutricia Krohn | Counselor | 1041 Dalzell St, Shreveport, LA 71104 | 2016-03-07 |
| 1225497779 | Annie Redding II | Counselor | 2525 Youree Dr Suite 110, Shreveport, LA 71104 | 2016-02-12 |
| 1891152328 | Council On Alcoholism and Drug Abuse of Northwest Louisiana | Community/Behavioral Health | 2000 Fairfield Ave, Shreveport, LA 71104 | 2016-01-28 |
| 1922465731 | Marteze Singleton | Case Manager/Care Coordinator | 2525 Youree Dr Ste 10, Shreveport, LA 71104 | 2016-01-25 |
| 1891160297 | Damara Mora | Counselor | 2620 Centenary Blvd Bldg3 Ste 312, Shreveport, LA 71104 | 2015-12-10 |
| 1962876250 | Chastity Shermaine Graham | Counselor | 2620 Centenary Blvd Ste 312, Shreveport, LA 71104 | 2015-11-24 |
| Find all providers in zip 71104 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104297720 | Southern Pediatric Clinic | Clinic/Center | 202 N Thomas Dr, Suite 1, Shreveport, LA 71107-6539 | 2015-10-08 |
| 1548494578 | Pediatric Providers of Louisiana | Clinic/Center | 4140 Hollywood Ave, Shreveport, LA 71109-7818 | 2009-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871124859 | Lafayette Wellness Group | Clinic/Center | 1042 Camellia Blvd Apt 3412, Lafayette, LA 70508-6692 | 2020-01-29 |
| 1033687439 | Debra Vidrine, Health Care Services,llc | Clinic/Center | 1535 W Main St Ste 100, Ville Platte, LA 70586-2867 | 2018-11-05 |
| 1922591080 | Aca Clinic | Clinic/Center | 23823 Eden St, Plaquemine, LA 70764-3315 | 2018-06-12 |
| 1841794989 | West Wellness, LLC | Clinic/Center | 7941 Picardy Ave Ofc 2, Baton Rouge, LA 70809-3536 | 2018-03-22 |
| 1588195341 | Ann M Waguespack | Clinic/Center | 9736 Kinglet Dr, Baton Rouge, LA 70809-4611 | 2017-03-23 |
| 1396135331 | Affinity Medical Center | Clinic/Center | 3143 N Roman St, New Orleans, LA 70117-6509 | 2015-01-29 |
| 1689081218 | Mps Healthcare, LLC | Clinic/Center | 16416 Spanish Ct, Greenwell Springs, LA 70739-5936 | 2014-07-15 |
| 1578821948 | Dyson & Dyson Inc. | Clinic/Center | 322 Messina St., Abbeville, LA 70510 | 2012-04-24 |
| 1427326446 | M L D Institute of Louisiana, LLC | Clinic/Center | 1274 Saint Tammany Ave, Slidell, LA 70460 | 2011-12-05 |
| 1285916817 | New Orleans College Prepatory Academics | Clinic/Center | 3127 Martin Luther King Jr Blvd, New Orleans, LA 70125-3328 | 2011-09-09 |
| Find all providers with the same taxonomy | ||||
| City | SHREVEPORT |
| Zip Code | 71104 |
Please comment or provide details below to improve the information on HEAVENLY TOUCH PERSONAL CARE.
| 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.