Provider Demographics
NPI:1154835429
Name:DEENAS HEAVENLY HOME CARE AGENCY LLC
Entity type:Organization
Organization Name:DEENAS HEAVENLY HOME CARE AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANNETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:GREEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-291-2044
Mailing Address - Street 1:10945 REED HARTMAN HWY STE 117
Mailing Address - Street 2:
Mailing Address - City:BLUE ASH
Mailing Address - State:OH
Mailing Address - Zip Code:45242-2894
Mailing Address - Country:US
Mailing Address - Phone:513-348-7489
Mailing Address - Fax:
Practice Address - Street 1:10945 REED HARTMAN HWY STE 117
Practice Address - Street 2:
Practice Address - City:BLUE ASH
Practice Address - State:OH
Practice Address - Zip Code:45242-2894
Practice Address - Country:US
Practice Address - Phone:513-348-7489
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-25
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health