MEDICARE: HEAVENLY WHEELS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	347C00000X	Private Vehicle

General Provider Information

NPI Number	:	1598681058
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEAVENLY WHEELS

Provider Business Mailing Address
First Line	:	1028 HENRYS MILL RD
Second Line	:
City	:	VERNON HILL
State	:	VA
Zip	:	24597-3171
Country	:	US
Telephone Number	:	434-323-1196
Fax Number	:

Provider Business Practice Location Address
First Line	:	1028 HENRYS MILL RD
Second Line	:
City	:	VERNON HILL
State	:	VA
Zip	:	24597-3171
Country	:	US
Telephone Number	:	434-323-1196
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DRAPER L PETERS
Credential	:
Telephone Number	:	434-323-1196

Provider Enumeration Date	:	06/27/2026
Last Update Date	:	06/27/2026

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Directions to “HEAVENLY WHEELS ” Practice Location

Language	Start Address	Practice Location

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