HEAVENLY MANOR LLC
NPI 1093416497
Community Health Worker in Hampton, VA

Active since March 13, 2023
132 BURNS ST, HAMPTON, VA 23669(757) 771-1477 Get Directions Write a Review

NPPES record last updated: March 13, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Community Health Worker

About HEAVENLY MANOR LLC

This page provides the complete NPI Profile along with additional information for Heavenly Manor Llc, a provider established in Hampton, Virginia operating as a Community Health Worker. The healthcare provider is registered in the NPI registry with number 1093416497 assigned on March 2023. The practitioner's primary taxonomy code is 172V00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Shamecka Lawanda Dinkins Rn, Msn (Owner)

NPI
1093416497 Verify this NPI
Provider Name
HEAVENLY MANOR LLC
Entity Type
Organization
Location Address
132 BURNS ST HAMPTON, VA 23669
Location Phone
(757) 771-1477
Mailing Address
132 BURNS ST HAMPTON, VA 23669
Mailing Phone
(757) 771-1477
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-13-2023
Last Update Date
03-13-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community Health Worker

Taxonomy Code
172V00000X
Type
Other Service Providers
Taxonomy Description
Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC 1616 (l) under HHS, Indian Health Service, Public Health Service.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SHAMECKA LAWANDA DINKINS RN, MSN

Authorized Official Title
OWNER
Authorized Official Phone
(757) 771-1477

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093416497, enumerated as an "organization" on March 13, 2023.

The provider is located at 132 BURNS ST HAMPTON, VA 23669 and the phone number is (757) 771-1477.

Community Health Worker with taxonomy code 172V00000X.