Provider Demographics
NPI:1508376138
Name:HEAVENLY SENT HOME CARE SERVICES LLC
Entity Type:Organization
Organization Name:HEAVENLY SENT HOME CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHAMEEQUR
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBBINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:571-282-8924
Mailing Address - Street 1:20557 MORNINGSIDE TER
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:VA
Mailing Address - Zip Code:20165-3597
Mailing Address - Country:US
Mailing Address - Phone:571-282-8924
Mailing Address - Fax:
Practice Address - Street 1:20557 MORNINGSIDE TER
Practice Address - Street 2:
Practice Address - City:STERLING
Practice Address - State:VA
Practice Address - Zip Code:20165-3597
Practice Address - Country:US
Practice Address - Phone:571-282-8924
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-10
Last Update Date:2021-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health