Provider Demographics
NPI:1912661422
Name:HEAVENS HANDS HOSPICE LLC
Entity Type:Organization
Organization Name:HEAVENS HANDS HOSPICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CASSANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARCELUS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:404-803-7603
Mailing Address - Street 1:103 BACON ST UNIT C
Mailing Address - Street 2:
Mailing Address - City:IRWINTON
Mailing Address - State:GA
Mailing Address - Zip Code:31042-2561
Mailing Address - Country:US
Mailing Address - Phone:478-946-2273
Mailing Address - Fax:478-946-1000
Practice Address - Street 1:103 BACON ST UNIT C
Practice Address - Street 2:
Practice Address - City:IRWINTON
Practice Address - State:GA
Practice Address - Zip Code:31042-2561
Practice Address - Country:US
Practice Address - Phone:478-946-2273
Practice Address - Fax:478-946-1000
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-30
Last Update Date:2023-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministratorGroup - Single Specialty