Provider Demographics
NPI:1538887732
Name:HEAVENLY ARMS HOME CARE SERVICES LLC
Entity type:Organization
Organization Name:HEAVENLY ARMS HOME CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNEEEEEER
Authorized Official - Prefix:
Authorized Official - First Name:MAXINE
Authorized Official - Middle Name:J
Authorized Official - Last Name:BAILEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:478-259-7850
Mailing Address - Street 1:3034 SIDNEY CT
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31217-5284
Mailing Address - Country:US
Mailing Address - Phone:478-259-7850
Mailing Address - Fax:478-259-1079
Practice Address - Street 1:3034 SIDNEY CT
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31217-5284
Practice Address - Country:US
Practice Address - Phone:478-714-7864
Practice Address - Fax:478-259-1079
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-15
Last Update Date:2022-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No261QG0250XAmbulatory Health Care FacilitiesClinic/CenterGenetics
No261QV0200XAmbulatory Health Care FacilitiesClinic/CenterVA
No313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility
No314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility