Provider Demographics
NPI:1396021671
Name:HEAVENLY HELPERS
Entity type:Organization
Organization Name:HEAVENLY HELPERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HOME MAKER
Authorized Official - Prefix:MISS
Authorized Official - First Name:ANGELINE
Authorized Official - Middle Name:SYLVIA
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-724-0195
Mailing Address - Street 1:PO BOX 734
Mailing Address - Street 2:
Mailing Address - City:PARK FOREST
Mailing Address - State:IL
Mailing Address - Zip Code:60466-0734
Mailing Address - Country:US
Mailing Address - Phone:708-724-0195
Mailing Address - Fax:
Practice Address - Street 1:2 THOMAS CT
Practice Address - Street 2:
Practice Address - City:RICHTON PARK
Practice Address - State:IL
Practice Address - Zip Code:60471-1437
Practice Address - Country:US
Practice Address - Phone:708-724-0195
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-31
Last Update Date:2011-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty
No347C00000XTransportation ServicesPrivate Vehicle