Provider Demographics
NPI:1811186794
Name:HEAVEN'S BLESSINGS, INC.
Entity Type:Organization
Organization Name:HEAVEN'S BLESSINGS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVENPORT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-352-0279
Mailing Address - Street 1:196 HIGHWAY 3175 BYP
Mailing Address - Street 2:
Mailing Address - City:NATCHITOCHES
Mailing Address - State:LA
Mailing Address - Zip Code:71457-9108
Mailing Address - Country:US
Mailing Address - Phone:318-352-0279
Mailing Address - Fax:318-352-5955
Practice Address - Street 1:196 HIGHWAY 3175 BYP
Practice Address - Street 2:
Practice Address - City:NATCHITOCHES
Practice Address - State:LA
Practice Address - Zip Code:71457-9108
Practice Address - Country:US
Practice Address - Phone:318-352-0279
Practice Address - Fax:318-352-5955
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-17
Last Update Date:2015-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1597031Medicaid