Provider Demographics
NPI:1427601426
Name:AEMAD HEAVENLY JOY SENIOR HOMECARE & DEVELOPMENTAL DISABILITIES LLC
Entity Type:Organization
Organization Name:AEMAD HEAVENLY JOY SENIOR HOMECARE & DEVELOPMENTAL DISABILITIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DAMEA
Authorized Official - Middle Name:S
Authorized Official - Last Name:SCHEALER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-799-1061
Mailing Address - Street 1:35 PATTERSON RD SUITE #466586
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30042
Mailing Address - Country:US
Mailing Address - Phone:678-799-1061
Mailing Address - Fax:609-482-4943
Practice Address - Street 1:1350 SCENIC HIGHWAY SUITE #266
Practice Address - Street 2:
Practice Address - City:SNEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30078
Practice Address - Country:US
Practice Address - Phone:678-808-4038
Practice Address - Fax:609-482-4943
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AEMAD HEAVENLY JOY SENIOR HOMECARE & DEVELOPMENTAL DISABILITIES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-07-18
Last Update Date:2019-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Multi-Specialty