Provider Demographics
NPI:1013457357
Name:HEAVENLY HANDS SERVICES, LLC
Entity type:Organization
Organization Name:HEAVENLY HANDS SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:
Authorized Official - Last Name:NEWTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-894-1120
Mailing Address - Street 1:16165 HIGHWAY 51
Mailing Address - Street 2:
Mailing Address - City:HAZLEHURST
Mailing Address - State:MS
Mailing Address - Zip Code:39083-2002
Mailing Address - Country:US
Mailing Address - Phone:601-894-1120
Mailing Address - Fax:844-270-3071
Practice Address - Street 1:16165 HIGHWAY 51
Practice Address - Street 2:
Practice Address - City:HAZLEHURST
Practice Address - State:MS
Practice Address - Zip Code:39083-2002
Practice Address - Country:US
Practice Address - Phone:601-894-1120
Practice Address - Fax:844-270-3071
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-06
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS03734041251E00000X
MS07733847251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health