Provider Demographics
NPI:1497989446
Name:HEAVEN SENT CARE LLC
Entity Type:Organization
Organization Name:HEAVEN SENT CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ OPERATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LAREKIA
Authorized Official - Middle Name:SHATEAU
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:985-709-4045
Mailing Address - Street 1:1223 COTEAU RD
Mailing Address - Street 2:SUITE A.
Mailing Address - City:HOUMA
Mailing Address - State:LA
Mailing Address - Zip Code:70364-4516
Mailing Address - Country:US
Mailing Address - Phone:985-851-7133
Mailing Address - Fax:985-851-7134
Practice Address - Street 1:1223 COTEAU RD
Practice Address - Street 2:
Practice Address - City:HOUMA
Practice Address - State:LA
Practice Address - Zip Code:70364-4516
Practice Address - Country:US
Practice Address - Phone:985-709-4045
Practice Address - Fax:985-851-7134
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-05
Last Update Date:2009-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization