Provider Demographics
NPI:1538460530
Name:4 HEAVEN'S SAKE HOMECARE & TRANSPORTATION
Entity Type:Organization
Organization Name:4 HEAVEN'S SAKE HOMECARE & TRANSPORTATION
Other - Org Name:4 HEAVEN'S SAKE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KEVISHA
Authorized Official - Middle Name:CHEVELLE
Authorized Official - Last Name:DREW
Authorized Official - Suffix:
Authorized Official - Credentials:CNA,HHA,EKG, MEDICAL
Authorized Official - Phone:800-503-9702
Mailing Address - Street 1:1208 50TH PL NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20019-4011
Mailing Address - Country:US
Mailing Address - Phone:800-503-9702
Mailing Address - Fax:202-388-0729
Practice Address - Street 1:1208 50TH PL NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20019-4011
Practice Address - Country:US
Practice Address - Phone:800-503-9702
Practice Address - Fax:202-388-0729
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-06
Last Update Date:2010-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)