Provider Demographics
NPI:1740863810
Name:HEAVENLY HANDS TRANSPORTATION, LLC
Entity type:Organization
Organization Name:HEAVENLY HANDS TRANSPORTATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DARRYEL
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-617-5199
Mailing Address - Street 1:2439 MANHATTAN BLVD STE 102-5
Mailing Address - Street 2:
Mailing Address - City:HARVEY
Mailing Address - State:LA
Mailing Address - Zip Code:70058-5473
Mailing Address - Country:US
Mailing Address - Phone:504-617-5199
Mailing Address - Fax:
Practice Address - Street 1:2439 MANHATTAN BLVD STE 102-5
Practice Address - Street 2:
Practice Address - City:HARVEY
Practice Address - State:LA
Practice Address - Zip Code:70058-5473
Practice Address - Country:US
Practice Address - Phone:504-617-5199
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-05
Last Update Date:2024-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)