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HEAVENLY MEDICAL SUPPLY LLC
NPI 1235970435
Durable Medical Equipment & Medical Supplies in Jonesboro, GA

Active since June 03, 2024
122 N MCDONOUGH STREET, 100, JONESBORO, GA 30236(470) 231-1597 Get Directions Write a Review

NPPES record last updated: June 3, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Heavenly Medical Supply Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEAVENLY MEDICAL SUPPLY LLC (NPI 1235970435) is a healthcare organization registered as a durable medical equipment & medical supplies in Jonesboro, Georgia and active in the NPI registry since June 2024. The organization lists Niketta Williams, Owner, as its authorized official.

NPPES Registry Identity

NPI1235970435
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameHEAVENLY MEDICAL SUPPLY LLC
Location Address122 N MCDONOUGH STREET, 100Jonesboro, GA 30236
Mailing Address122 N Mcdonough Street, 100Jonesboro, GA 30236 · (470) 231-1597
Phone(470) 231-1597
Organization SubpartNo
Authorized OfficialNiketta WilliamsOwner · (470) 231-1597
Enumeration DateJune 3, 2024
NPPES CertifiedMay 29, 2024
✔ NPI 1235970435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
122 N MCDONOUGH STREET, Jonesboro, GA 30236
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Heavenly Medical Supply LLC's NPI number?

The NPI number for Heavenly Medical Supply LLC is 1235970435. It was assigned to this organization in the NPPES registry on June 3, 2024.

Where is Heavenly Medical Supply LLC located?

Heavenly Medical Supply LLC is located at 122 N Mcdonough Street 100, Jonesboro, GA 30236. The listed phone number is (470) 231-1597.

What is Heavenly Medical Supply LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Heavenly Medical Supply LLC was last updated on June 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.