Provider Demographics
NPI:1790732436
Name:HEAVEN SENT BY HOME TOWN HEALTH CARE, LTD
Entity Type:Organization
Organization Name:HEAVEN SENT BY HOME TOWN HEALTH CARE, LTD
Other - Org Name:HEAVEN SENT BY HOME TOWN HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:S
Authorized Official - Last Name:ADATO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-526-3600
Mailing Address - Street 1:PO BOX 3810
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:23831-8470
Mailing Address - Country:US
Mailing Address - Phone:804-526-3600
Mailing Address - Fax:804-526-6724
Practice Address - Street 1:12900 JEFFERSON DAVIS HWY
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:VA
Practice Address - Zip Code:23831-5311
Practice Address - Country:US
Practice Address - Phone:804-526-3600
Practice Address - Fax:804-526-6724
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-28
Last Update Date:2020-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001076327251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010276233Medicaid
VA010253292Medicaid
VA010265967Medicaid
VA010259924Medicaid
VA010266017Medicaid
VA010254485Medicaid
VA010262623Medicaid