Provider Demographics
NPI:1750932372
Name:HEAVENLY CARING HANDS LLC
Entity type:Organization
Organization Name:HEAVENLY CARING HANDS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO AND FOUNDER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LATOYA
Authorized Official - Middle Name:MERSANDUIS
Authorized Official - Last Name:WINDOM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-707-6772
Mailing Address - Street 1:1000 HIGHLAND COLONY PKWY STE 5203
Mailing Address - Street 2:
Mailing Address - City:RIDGELAND
Mailing Address - State:MS
Mailing Address - Zip Code:39157-2079
Mailing Address - Country:US
Mailing Address - Phone:601-897-0345
Mailing Address - Fax:601-897-0349
Practice Address - Street 1:745 HIGHWAY 51 STE U
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:MS
Practice Address - Zip Code:39110-8437
Practice Address - Country:US
Practice Address - Phone:601-707-6772
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-25
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based
No253Z00000XAgenciesIn Home Supportive Care