Provider Demographics
NPI:1316744683
Name:HEAVEN TOUCH LLC
Entity type:Organization
Organization Name:HEAVEN TOUCH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:HOLLIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-201-3143
Mailing Address - Street 1:3824 N 108TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68164-2943
Mailing Address - Country:US
Mailing Address - Phone:402-201-3143
Mailing Address - Fax:402-973-1092
Practice Address - Street 1:3824 N 108TH ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68164-2943
Practice Address - Country:US
Practice Address - Phone:402-201-3143
Practice Address - Fax:402-973-1092
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-25
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care