Provider Demographics
NPI:1558568030
Name:IT'S HEAVEN, LLC
Entity Type:Organization
Organization Name:IT'S HEAVEN, LLC
Other - Org Name:IT'S HEAVEN ADULT DAY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:J
Authorized Official - Last Name:HAMILTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-403-5200
Mailing Address - Street 1:1250 FM 2234 RD
Mailing Address - Street 2:SUITE H
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77477-6467
Mailing Address - Country:US
Mailing Address - Phone:281-403-5200
Mailing Address - Fax:281-403-5240
Practice Address - Street 1:1250 FM 2234 RD
Practice Address - Street 2:SUITE H
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-6467
Practice Address - Country:US
Practice Address - Phone:281-403-5200
Practice Address - Fax:281-403-5240
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-28
Last Update Date:2008-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care