Provider Demographics
NPI:1891239299
Name:WORK MY WAY TO HEAVEN LLC
Entity Type:Organization
Organization Name:WORK MY WAY TO HEAVEN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCALZO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-509-2255
Mailing Address - Street 1:20735 CYPRESS ECHO DR
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-2138
Mailing Address - Country:US
Mailing Address - Phone:281-509-2255
Mailing Address - Fax:
Practice Address - Street 1:20735 CYPRESS ECHO DR
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-2138
Practice Address - Country:US
Practice Address - Phone:281-509-2255
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-05
Last Update Date:2016-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No251S00000XAgenciesCommunity/Behavioral Health
No322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children
No385H00000XRespite Care FacilityRespite Care