Provider Demographics
NPI:1235759838
Name:HEAVENLY TOUCH HOSPICE CARE, LLC
Entity Type:Organization
Organization Name:HEAVENLY TOUCH HOSPICE CARE, LLC
Other - Org Name:HEAVENLY TOUCH HOSPICE CARE
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARITZA
Authorized Official - Middle Name:
Authorized Official - Last Name:CERVANTES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:979-292-6783
Mailing Address - Street 1:914 W 9TH ST
Mailing Address - Street 2:
Mailing Address - City:FREEPORT
Mailing Address - State:TX
Mailing Address - Zip Code:77541-5446
Mailing Address - Country:US
Mailing Address - Phone:979-292-6783
Mailing Address - Fax:
Practice Address - Street 1:210 RABBIT TRL
Practice Address - Street 2:
Practice Address - City:LAKE JACKSON
Practice Address - State:TX
Practice Address - Zip Code:77566-3729
Practice Address - Country:US
Practice Address - Phone:979-292-6783
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-23
Last Update Date:2020-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based