Provider Demographics
NPI:1700838950
Name:HEATH HARVEY'S INC
Entity type:Organization
Organization Name:HEATH HARVEY'S INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CO
Authorized Official - Prefix:MR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:E
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:CO
Authorized Official - Phone:706-323-3461
Mailing Address - Street 1:3531 EARLINE AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31904-7117
Mailing Address - Country:US
Mailing Address - Phone:706-323-3461
Mailing Address - Fax:706-324-3414
Practice Address - Street 1:3531 EARLINE AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31904-7117
Practice Address - Country:US
Practice Address - Phone:706-323-3461
Practice Address - Fax:706-324-3414
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-16
Last Update Date:2025-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000039487AMedicaid
GA000039487BMedicaid