Heavenly Palace Adult Center, Inc.
NPI 1790954592ActiveOrganization· Preferred Provider Organization· Greenville, MS
Preferred Provider Organization in Greenville, Mississippi, registered in NPPES in February 2008. The authorized official on file is Patrick Jackson, President.
Overview
| NPI | 1790954592 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 26, 2008 |
| Last updated in NPPES | Feb 26, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Preferred Provider Organization Primary | 305R00000X | 07186736 | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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