Provider Demographics
NPI:1194476242
Name:HEAVENLY HANDS LLC
Entity type:Organization
Organization Name:HEAVENLY HANDS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:RANESHSI
Authorized Official - Middle Name:S
Authorized Official - Last Name:KING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-920-9830
Mailing Address - Street 1:5909 COURT M
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35228-1227
Mailing Address - Country:US
Mailing Address - Phone:205-920-9830
Mailing Address - Fax:256-674-0106
Practice Address - Street 1:5909 COURT M
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35228-1227
Practice Address - Country:US
Practice Address - Phone:205-920-9830
Practice Address - Fax:256-674-0106
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-11
Last Update Date:2022-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Single Specialty