Provider Demographics
NPI:1346811106
Name:HEAVENS CARE LLC
Entity type:Organization
Organization Name:HEAVENS CARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MUMEN
Authorized Official - Middle Name:
Authorized Official - Last Name:AHMED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-580-6906
Mailing Address - Street 1:207 MCBRIDE AVE
Mailing Address - Street 2:
Mailing Address - City:PATERSON
Mailing Address - State:NJ
Mailing Address - Zip Code:07501-2607
Mailing Address - Country:US
Mailing Address - Phone:347-527-6461
Mailing Address - Fax:
Practice Address - Street 1:207 MCBRIDE AVE
Practice Address - Street 2:
Practice Address - City:PATERSON
Practice Address - State:NJ
Practice Address - Zip Code:07501-2607
Practice Address - Country:US
Practice Address - Phone:347-527-6461
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HEAVENS CARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-07-02
Last Update Date:2024-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health