Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

HEAVENLY ANGELS COMMUNITY LIVING, INC.
NPI 1891519872
Nursing Facility/Intermediate Care Facility in Okolona, MS

Q: What is Heavenly Angels Community Living, Inc.'s specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

Active since November 14, 2024

704 W MAIN ST, OKOLONA, MS 38860(662) 295-6514 Get Directions Write a Review

NPPES record last updated: September 1, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Sep 1, 2026, Nov 14, 2024 (2 updates tracked since 2024).

On this page

About Heavenly Angels Community Living, Inc. NPPES

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

HEAVENLY ANGELS COMMUNITY LIVING, INC. (NPI 1891519872) is a healthcare organization registered as a nursing facility/intermediate care facility in Okolona, Mississippi and active in the NPI registry since November 2024. The organization lists Jerome Walker, Director, as its authorized official.

NPPES Registry Identity

NPI1891519872

Entity TypeOrganization

Primary Taxonomy313M00000X

Legal Business NameHEAVENLY ANGELS COMMUNITY LIVING, INC.

Location Address704 W MAIN STOkolona, MS 38860-1627

Mailing Address704 W Main StOkolona, MS 38860-1627 · (662) 295-6514

Phone(662) 295-6514

Organization SubpartNo

Authorized OfficialJerome WalkerDirector · (662) 295-6514

Enumeration DateNovember 14, 2024

Last NPPES UpdateSeptember 1, 20262 updates tracked since enumeration

NPPES CertifiedSeptember 1, 2026

✔ NPI 1891519872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities

Taxonomy Code313M00000X

Definition

An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

704 W MAIN ST, Okolona, MS 38860

Open in Google Maps ↗

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 Angels Community Living, Inc.'s NPI number?

The NPI number for Heavenly Angels Community Living, Inc. is 1891519872. It was assigned to this organization in the NPPES registry on November 14, 2024.

Where is Heavenly Angels Community Living, Inc. located?

Heavenly Angels Community Living, Inc. is located at 704 W Main St, Okolona, MS 38860. The listed phone number is (662) 295-6514.

What is Heavenly Angels Community Living, Inc.'s specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

When was this NPI record last updated?

The NPPES record for Heavenly Angels Community Living, Inc. was last updated on September 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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.