Organization
HEAVENLY HEALTHCARE AGENCY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANTOINETTA D FULTON (OWNER)
(336) 230-0808
Entity
Organization
Contact information
Practice address
503 W MCGEE ST, GREENSBORO, NC 27401-2702
(336) 230-0808
(336) 230-0842
Mailing address
503 W MCGEE ST, GREENSBORO, NC 27401-2702
(336) 230-0808
(336) 230-0842
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HC2337
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3409611
—
NC
05
—
6600937
—
NC
Enumeration date
10/13/2006
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us