THE HEAVENLY OAK ADULT DAY CARE (NPI# 1871838466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871838466 |
| Entity Type | Organization |
| Organization Name | THE HEAVENLY OAK ADULT DAY CARE |
| Practice Address |
8 Oak Street Stanton TN 38069-3417 |
| Mailing Address |
2695 Stanton Koko Rd Stanton TN 38069-3417 |
| Practice Telephone | 7315486555 |
| Mailing Telephone | 7315486704 |
| Enumeration Date | 2012-12-07 |
| Last Update Date | 2012-12-07 |
| Authorized Official Name | MRS. BARBARA RICE HUDSON (OWNER/DIRECTOR) |
| Authorized Official Telephone | 7315486555 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
TN | Nursing & Custodial Care Facilities |
| Street Address |
8 OAK STREET |
| City | STANTON |
| State | TN |
| Zip Code | 38069-3417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457304396 | Ejikeme Uchenna Nwokolo | Internal Medicine | 17 First Street East, Stanton, TN 38069 | 2006-05-19 |
| 1356531610 | Hardeman County Community Health Center | Clinic/Center | 17 1st St E, Stanton, TN 38069-4426 | 2007-08-01 |
| 1760868590 | Leland R Cornelius | Family Medicine | 17 1st St E, Stanton, TN 38069-4426 | 2015-08-04 |
| 1730585878 | Melanie Gilliland | Nurse Practitioner | 17 1st St E, Stanton, TN 38069-4426 | 2014-11-18 |
| 1881020295 | Justin K Kwon | Physician Assistant | 17 1st St E, Stanton, TN 38069-4426 | 2013-09-17 |
| 1588992663 | Dr. C. R. White and Associates Dental Center,inc. | Dental Assistant | 17 1st St E, Stanton, TN 38069-4426 | 2009-11-30 |
| 1174121735 | Takindra Worles | Social Worker | 164 Summit Rd, Stanton, TN 38069-4646 | 2020-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932570 | Sterling Health Solutions, Inc | Clinic/Center | 642 Rose Way, Stanton, KY 40380 | 2020-11-03 |
| 1306446109 | Andrea Huizar | Behavioral Analyst | 10236 Fern Ave, Stanton, CA 90680-1711 | 2020-10-29 |
| 1174121735 | Takindra Worles | Social Worker | 164 Summit Rd, Stanton, TN 38069-4646 | 2020-10-15 |
| 1881292514 | Miriam Herrera Salgado | Dentist | 10232 Macduff St, Stanton, CA 90680-1822 | 2020-10-14 |
| 1003422676 | Amber M Ryan | Nurse Practitioner | 2799 N Cedar Lake Rd, Stanton, MI 48888-9417 | 2020-09-18 |
| 1497365126 | Brenda Patricia Ramos Zavala | Behavior Technician | 12235 Beach Blvd Ste 110, Stanton, CA 90680-3943 | 2020-08-06 |
| 1609491919 | Mary Nguyen | Student in an Organized Health Care Education/Training Program | 8350 Palais Rd, Stanton, CA 90680-1717 | 2020-06-11 |
| 1316569189 | Sri Sai Krish Institute | Nursing Care | 12362 Beach Blvd Ste 14, Stanton, CA 90680-3957 | 2020-05-14 |
| 1811517261 | Crown Care Hospice Inc | Hospice Care, Community Based | 10568 Magnolia Ave., Suite106, Stanton, CA 92804 | 2020-04-24 |
| 1497375448 | Sheridan Home Care | In Home Supportive Care | 129 E. Main St, Stanton, MI 48888-9998 | 2020-04-20 |
| Find all providers in STANTON | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265045223 | Charity Baker | Custodial Care Facility | 677 Westwood Ave, Jackson, TN 38301-4230 | 2020-08-28 |
| 1790305225 | Compassionate Hearts Home Care | Custodial Care Facility | 1910 Madison Ave # 2124, Memphis, TN 38104-2620 | 2020-04-24 |
| 1346710662 | Kathleen Harbaugh | Custodial Care Facility | 526 Turkey Oak Road, Crossville, TN 38555-1502 | 2018-11-29 |
| 1467955542 | Homevent Care LLC | Custodial Care Facility | 7201 Kayla Beth Ct, Ooltewah, TN 37363-6272 | 2018-03-14 |
| 1245746171 | Davis Supportive Living Home Inc. | Custodial Care Facility | 1106 Duncan Avenue, Chattanooga, TN 37404 | 2017-12-14 |
| 1336660950 | Philanda Britton | Custodial Care Facility | 3093 North Watkins St., Memphis, TN 38121 | 2017-07-05 |
| 1821524075 | His House | Custodial Care Facility | 5010 Mount Zion Rd, Springfield, TN 37172-7130 | 2017-05-10 |
| 1962958322 | Elcm Knoxville Leasing LLC | Custodial Care Facility | 801 E Inskip Dr, Knoxville, TN 37912-3734 | 2016-08-26 |
| 1366998718 | Elcm Johnson City Leasing LLC | Custodial Care Facility | 2111 E Lakeview Dr, Johnson City, TN 37601-1890 | 2016-08-26 |
| 1033665492 | Elcm Oak Ridge Leasing LLC | Custodial Care Facility | 300 Briarcliff Ave, Oak Ridge, TN 37830-8731 | 2016-08-26 |
| Find all providers with the same taxonomy | ||||
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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.