Provider Demographics
NPI:1356571244
Name:HEAVENSENT HOME HEALTH SOLUTIONS
Entity type:Organization
Organization Name:HEAVENSENT HOME HEALTH SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOY
Authorized Official - Middle Name:MADONNA
Authorized Official - Last Name:LADSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-346-4252
Mailing Address - Street 1:PO BOX 5892
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29606-5892
Mailing Address - Country:US
Mailing Address - Phone:864-346-4252
Mailing Address - Fax:
Practice Address - Street 1:508 STONEMINT CT
Practice Address - Street 2:
Practice Address - City:SIMPSONVILLE
Practice Address - State:SC
Practice Address - Zip Code:29680-7323
Practice Address - Country:US
Practice Address - Phone:864-346-4252
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-26
Last Update Date:2009-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC253Z00000X, 251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care