Provider Demographics
NPI:1750914149
Name:HEAVEN ON EARTH TRANSPORTATION LLC
Entity type:Organization
Organization Name:HEAVEN ON EARTH TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMPLOYEE
Authorized Official - Prefix:MRS
Authorized Official - First Name:DARSHAY
Authorized Official - Middle Name:L
Authorized Official - Last Name:CALDWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-399-9827
Mailing Address - Street 1:16250 LOWELL ST APT 209
Mailing Address - Street 2:
Mailing Address - City:SOUTHGATE
Mailing Address - State:MI
Mailing Address - Zip Code:48195-1657
Mailing Address - Country:US
Mailing Address - Phone:313-399-9827
Mailing Address - Fax:
Practice Address - Street 1:20600 EUREKA RD STE 315F
Practice Address - Street 2:
Practice Address - City:TAYLOR
Practice Address - State:MI
Practice Address - Zip Code:48180-5306
Practice Address - Country:US
Practice Address - Phone:734-486-0193
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-13
Last Update Date:2020-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)