Provider Demographics
NPI:1750035648
Name:HEAVENLY TOUCH COMPANIONS LLC
Entity Type:Organization
Organization Name:HEAVENLY TOUCH COMPANIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:LASHEL
Authorized Official - Last Name:COWINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-754-4500
Mailing Address - Street 1:PO BOX 19093
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:31126-1093
Mailing Address - Country:US
Mailing Address - Phone:470-865-8900
Mailing Address - Fax:
Practice Address - Street 1:508 ARBOR TRL
Practice Address - Street 2:
Practice Address - City:LOGANVILLE
Practice Address - State:GA
Practice Address - Zip Code:30052-8042
Practice Address - Country:US
Practice Address - Phone:470-865-8900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-09
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care