HIGHWAY TO HEAVEN LLC (NPI# 1962846600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962846600 |
| Entity Type | Organization |
| Organization Name | HIGHWAY TO HEAVEN LLC |
| Practice Address |
152 Edge Road Doerun GA 31744 |
| Mailing Address |
Po Box 606 Doerun GA 31744 |
| Practice Telephone | 2298734674 |
| Mailing Telephone | 2298734674 |
| Enumeration Date | 2013-04-24 |
| Last Update Date | 2013-04-24 |
| Authorized Official Name | MS. MILDRED ANN THOMAS (OWNER) |
| Authorized Official Telephone | 2298734674 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | HIGHWAY TO HEAVEN LLC | 1317 Portage Rd, Niagara, Ny 14301 |
| Street Address |
152 EDGE ROAD |
| City | DOERUN |
| State | GA |
| Zip Code | 31744 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992147573 | Doerun Family Medicine Clinic | Clinic/Center | 128 West Broad Ave, Doerun, GA 31744 | 2013-07-23 |
| 1770920829 | Mildred A Thomas | Assisted Living Facility | 810 Se Moultrie Road, Doerun, GA 31744 | 2013-05-30 |
| 1295009637 | Albany Vascular Specialtist Center, LLC | Family Medicine | 128 West Broad Avenue, Doerun, GA 31744 | 2012-03-02 |
| 1639138423 | The Apothecary Ltc | Pharmacy | 128 West Broad Ave., Doerun, GA 31744 | 2006-03-21 |
| 1780879957 | Doerun Healthcare L.L.C. | Nurse Practitioner | 217 West Broad Ave, Doerun, GA 31744-0459 | 2007-09-11 |
| 1225087083 | Apothecary Inc | Pharmacy | 130 W Broad Ave, Doerun, GA 31744-0490 | 2006-05-09 |
| 1720536766 | Wendy Hayes | Contractor | 922 S Fain St, Doerun, GA 31744-5010 | 2016-09-20 |
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770920829 | Mildred A Thomas | Assisted Living Facility | 810 Se Moultrie Road, Doerun, GA 31744 | 2013-05-30 |
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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.