Provider Demographics
NPI:1881339794
Name:HAVENLY CARE SOLUTIONS
Entity type:Organization
Organization Name:HAVENLY CARE SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:SUMAIA
Authorized Official - Middle Name:
Authorized Official - Last Name:NABIRUMBI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:978-395-0999
Mailing Address - Street 1:26 BEACON ST APT 9D
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:01803-3812
Mailing Address - Country:US
Mailing Address - Phone:978-395-0999
Mailing Address - Fax:
Practice Address - Street 1:26 BEACON ST APT 9D
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:MA
Practice Address - Zip Code:01803-3812
Practice Address - Country:US
Practice Address - Phone:978-395-0999
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-04
Last Update Date:2022-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care