Organization Name: | HEAVENLY CARE, LLC |
NPI Number: | 1912235912 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JACOB N ZANNOU (OWNER) |
Mailing Address: | 2507 S 90th St Omaha |
State: | NE US |
Postal Code: | 681242065 |
Phone Number: | 4026149574 |
Fax Number: | 4022181644 |
NPI Enumeration Date: | 12/02/2009 |
NPI Last Update Date: | 12/02/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |