Provider Demographics
NPI:1982835245
Name:HEAVEN HOME HEALTH CARE, INC
Entity Type:Organization
Organization Name:HEAVEN HOME HEALTH CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:IGOR
Authorized Official - Middle Name:
Authorized Official - Last Name:NUNEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-325-6219
Mailing Address - Street 1:16300 NE 19TH AVE
Mailing Address - Street 2:SUITE 237
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33162-4883
Mailing Address - Country:US
Mailing Address - Phone:786-325-6219
Mailing Address - Fax:
Practice Address - Street 1:16300 NE 19TH AVE
Practice Address - Street 2:SUITE 237
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33162-4883
Practice Address - Country:US
Practice Address - Phone:786-325-6219
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-05
Last Update Date:2009-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health