Provider Demographics
NPI:1356136022
Name:HEAVENS TOUCH GROUP HOME
Entity type:Organization
Organization Name:HEAVENS TOUCH GROUP HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:409-621-6433
Mailing Address - Street 1:3210 GULF FWY APT 6108
Mailing Address - Street 2:
Mailing Address - City:TEXAS CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77591-2843
Mailing Address - Country:US
Mailing Address - Phone:409-621-6433
Mailing Address - Fax:
Practice Address - Street 1:3210 GULF FWY APT 6108
Practice Address - Street 2:
Practice Address - City:TEXAS CITY
Practice Address - State:TX
Practice Address - Zip Code:77591-2843
Practice Address - Country:US
Practice Address - Phone:409-621-6433
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-11
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities