Provider Demographics
NPI:1902132863
Name:HEAVENS CARING, LLC HOME CARE
Entity Type:Organization
Organization Name:HEAVENS CARING, LLC HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LYUBOMIRA
Authorized Official - Middle Name:I
Authorized Official - Last Name:PILIPCHUK
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:603-370-1850
Mailing Address - Street 1:55 RAYMOND RD
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD
Mailing Address - State:NH
Mailing Address - Zip Code:03037-1536
Mailing Address - Country:US
Mailing Address - Phone:603-370-1850
Mailing Address - Fax:603-463-8333
Practice Address - Street 1:55 RAYMOND RD
Practice Address - Street 2:
Practice Address - City:DEERFIELD
Practice Address - State:NH
Practice Address - Zip Code:03037-1536
Practice Address - Country:US
Practice Address - Phone:603-370-1850
Practice Address - Fax:603-463-8333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-28
Last Update Date:2009-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH03193251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30594708Medicaid