Provider Demographics
NPI:1649511478
Name:HEAVEN SENT HOME HEALTH CARE INC
Entity type:Organization
Organization Name:HEAVEN SENT HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PRECIOUS
Authorized Official - Middle Name:P
Authorized Official - Last Name:MCCLAY-CABANISS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-998-2282
Mailing Address - Street 1:4629 CHANTED HEART AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89115-3502
Mailing Address - Country:US
Mailing Address - Phone:702-998-2282
Mailing Address - Fax:
Practice Address - Street 1:4629 CHANTED HEART AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89115-3502
Practice Address - Country:US
Practice Address - Phone:702-998-2282
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-04
Last Update Date:2013-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV343900000X, 332B00000X, 332BX2000X, 251E00000X
347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No347C00000XTransportation ServicesPrivate Vehicle