Provider Demographics
NPI:1992309801
Name:A HEAVENLY TOUCH IN HOME CARE
Entity type:Organization
Organization Name:A HEAVENLY TOUCH IN HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROSHAE
Authorized Official - Middle Name:LAKISHA
Authorized Official - Last Name:KNIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-549-9052
Mailing Address - Street 1:2971 WINDING TRL
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34746-2809
Mailing Address - Country:US
Mailing Address - Phone:407-549-9052
Mailing Address - Fax:407-565-5711
Practice Address - Street 1:2971 WINDING TRL
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34746-2809
Practice Address - Country:US
Practice Address - Phone:407-549-9052
Practice Address - Fax:407-565-5711
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-23
Last Update Date:2020-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care