Provider Demographics
NPI:1104484427
Name:HEAVEN SENT HOME SUPPORT SERVICES LLC
Entity type:Organization
Organization Name:HEAVEN SENT HOME SUPPORT SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:ARRINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-262-7111
Mailing Address - Street 1:25625 SOUTHFIELD RD STE 208
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48075-1854
Mailing Address - Country:US
Mailing Address - Phone:248-262-7111
Mailing Address - Fax:
Practice Address - Street 1:25625 SOUTHFIELD RD STE 208
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-1854
Practice Address - Country:US
Practice Address - Phone:248-262-7111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-01
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0007190Medicaid
MI7398400Medicaid
MI0007190OtherMEDICAID