| Organization Name: | HEAVEN HEIGHTS SENIOR CARE |
| NPI Number: | 1609271162 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JACQUELINE HAWK (CEO / PRESIDENT) |
| Mailing Address: | 77530 Enfield Ln Ste. I202 Palm Desert |
| State: | CA US |
| Postal Code: | 922117261 |
| Phone Number: | 7607722444 |
| Fax Number: | 7607722401 |
| NPI Enumeration Date: | 10/27/2014 |
| NPI Last Update Date: | 05/13/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | 1300051060 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | In Home Supportive Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |