Provider Demographics
NPI:1770364697
Name:HEAVEN SENT US
Entity type:Organization
Organization Name:HEAVEN SENT US
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RONIESHA
Authorized Official - Middle Name:EMMA
Authorized Official - Last Name:FORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-707-5600
Mailing Address - Street 1:PO BOX 1
Mailing Address - Street 2:
Mailing Address - City:WAVERLY
Mailing Address - State:FL
Mailing Address - Zip Code:33877-0001
Mailing Address - Country:US
Mailing Address - Phone:863-632-1794
Mailing Address - Fax:
Practice Address - Street 1:280 AVE A
Practice Address - Street 2:
Practice Address - City:WAVERLY
Practice Address - State:FL
Practice Address - Zip Code:33877
Practice Address - Country:US
Practice Address - Phone:863-632-1794
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-06
Last Update Date:2023-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)