Provider Demographics
NPI:1811719222
Name:HEAVENLY HANDS AND HEART HOME CARE LLC
Entity type:Organization
Organization Name:HEAVENLY HANDS AND HEART HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:RILETIA
Authorized Official - Middle Name:
Authorized Official - Last Name:HAWKINS-PRAY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:912-469-4485
Mailing Address - Street 1:1105 WATER OAK CT
Mailing Address - Street 2:
Mailing Address - City:HINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:31313-4107
Mailing Address - Country:US
Mailing Address - Phone:912-469-4485
Mailing Address - Fax:
Practice Address - Street 1:1105 WATER OAK CT
Practice Address - Street 2:
Practice Address - City:HINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:31313-4107
Practice Address - Country:US
Practice Address - Phone:912-469-4485
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-28
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care