Provider Demographics
NPI:1902452089
Name:HEAVEN SENT TRANSPORTATION
Entity Type:Organization
Organization Name:HEAVEN SENT TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BETTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:JAMES-LEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:346-900-5252
Mailing Address - Street 1:22820 IMPERIAL VALLEY DR APT 314
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77073-1106
Mailing Address - Country:US
Mailing Address - Phone:346-900-5252
Mailing Address - Fax:
Practice Address - Street 1:22820 IMPERIAL VALLEY DR APT 314
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77073-1106
Practice Address - Country:US
Practice Address - Phone:346-900-5252
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-14
Last Update Date:2019-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)