Provider Demographics
NPI:1851139083
Name:HEAVEN'S HUG PEDIATRIC HOME CARE LLC
Entity type:Organization
Organization Name:HEAVEN'S HUG PEDIATRIC HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED NURSE
Authorized Official - Prefix:
Authorized Official - First Name:IJEOMA
Authorized Official - Middle Name:
Authorized Official - Last Name:IROH
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:443-271-5273
Mailing Address - Street 1:24950 VIA ARABELLA LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77406-1161
Mailing Address - Country:US
Mailing Address - Phone:443-271-5273
Mailing Address - Fax:
Practice Address - Street 1:24950 VIA ARABELLA LN
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77406-1161
Practice Address - Country:US
Practice Address - Phone:443-271-5273
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-20
Last Update Date:2024-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health