Provider Demographics
NPI:1609642651
Name:HEART FOR HEAVEN
Entity Type:Organization
Organization Name:HEART FOR HEAVEN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:OLUWASEUN
Authorized Official - Middle Name:O
Authorized Official - Last Name:EFUNNUGA
Authorized Official - Suffix:
Authorized Official - Credentials:RN, MSN
Authorized Official - Phone:302-329-2422
Mailing Address - Street 1:254 CHAPMAN ROAD
Mailing Address - Street 2:SUITE 208, BOX # 10904
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19702
Mailing Address - Country:US
Mailing Address - Phone:302-329-8263
Mailing Address - Fax:
Practice Address - Street 1:254 CHAPMAN ROAD
Practice Address - Street 2:SUITE 208, #10904
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19702
Practice Address - Country:US
Practice Address - Phone:302-329-8263
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-30
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
No251E00000XAgenciesHome Health
Yes253Z00000XAgenciesIn Home Supportive Care