Provider Demographics
NPI:1558515767
Name:HEAVENLY BLESSINGS HOME HEALTHCARE, LLC
Entity Type:Organization
Organization Name:HEAVENLY BLESSINGS HOME HEALTHCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHERILYNN
Authorized Official - Middle Name:
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-815-9707
Mailing Address - Street 1:3939 HWY 80 E STE 486
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75150-8103
Mailing Address - Country:US
Mailing Address - Phone:972-270-9552
Mailing Address - Fax:888-790-4274
Practice Address - Street 1:3939 HWY 80 E STE 486
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75150-8103
Practice Address - Country:US
Practice Address - Phone:972-270-9552
Practice Address - Fax:888-790-4274
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-14
Last Update Date:2022-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Single Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty