Provider Demographics
NPI:1912191255
Name:EDNAS HEAVENLY TOUCH HOME CARE SERVICES
Entity Type:Organization
Organization Name:EDNAS HEAVENLY TOUCH HOME CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:KANIKA
Authorized Official - Middle Name:KANYA
Authorized Official - Last Name:PEOPLES
Authorized Official - Suffix:
Authorized Official - Credentials:RMA
Authorized Official - Phone:443-744-7645
Mailing Address - Street 1:8 RAMBLING OAKS WAY
Mailing Address - Street 2:J
Mailing Address - City:CATONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21228-1539
Mailing Address - Country:US
Mailing Address - Phone:443-744-7645
Mailing Address - Fax:
Practice Address - Street 1:8 RAMBLING OAKS WAY
Practice Address - Street 2:J
Practice Address - City:CATONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21228-1539
Practice Address - Country:US
Practice Address - Phone:443-744-7645
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-29
Last Update Date:2007-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health