Provider Demographics
NPI:1194314195
Name:HEAVEN SENT ASSISTED LIVING LLC
Entity type:Organization
Organization Name:HEAVEN SENT ASSISTED LIVING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF NURSING
Authorized Official - Prefix:
Authorized Official - First Name:NIRCHA
Authorized Official - Middle Name:
Authorized Official - Last Name:DORCELY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-713-0881
Mailing Address - Street 1:901 ASPEN RD
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33409-6107
Mailing Address - Country:US
Mailing Address - Phone:561-633-9714
Mailing Address - Fax:
Practice Address - Street 1:901 ASPEN RD
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33409-6107
Practice Address - Country:US
Practice Address - Phone:561-633-9714
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-13
Last Update Date:2021-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility