Provider Demographics
NPI:1245899434
Name:HEAVENLY HANDS HOME HEALTH INC
Entity type:Organization
Organization Name:HEAVENLY HANDS HOME HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LERNIK
Authorized Official - Middle Name:
Authorized Official - Last Name:MESROPYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-250-3434
Mailing Address - Street 1:13620 LINCOLN WAY STE 240
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:CA
Mailing Address - Zip Code:95603-3263
Mailing Address - Country:US
Mailing Address - Phone:530-250-3434
Mailing Address - Fax:530-250-3435
Practice Address - Street 1:13620 LINCOLN WAY STE 240
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:CA
Practice Address - Zip Code:95603-3263
Practice Address - Country:US
Practice Address - Phone:530-250-3434
Practice Address - Fax:530-250-3435
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-11
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health