Provider Demographics
NPI:1962826339
Name:HEAVEN SENT CAREGIVERS
Entity type:Organization
Organization Name:HEAVEN SENT CAREGIVERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DORSHEKA
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:1888-247-7578
Mailing Address - Street 1:714 MONTANA DR
Mailing Address - Street 2:SUITE D
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28216-3986
Mailing Address - Country:US
Mailing Address - Phone:704-777-1928
Mailing Address - Fax:
Practice Address - Street 1:113 W BIRNIE ST
Practice Address - Street 2:
Practice Address - City:GAFFNEY
Practice Address - State:SC
Practice Address - Zip Code:29340-3123
Practice Address - Country:US
Practice Address - Phone:888-247-7578
Practice Address - Fax:888-247-7457
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-06
Last Update Date:2014-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care