Healthcare Provider Details

I. General information

NPI: 1225951296
Provider Name (Legal Business Name): BBS HEAVEN ON EARTH HOME CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1483 PANTHER PRESERVE PKWY
JACKSONVILLE FL
32221-1081
US

IV. Provider business mailing address

1483 PANTHER PRESERVE PKWY
JACKSONVILLE FL
32221-1081
US

V. Phone/Fax

Practice location:
  • Phone: 317-765-9049
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: BRITTANY OWENS
Title or Position: CEO
Credential:
Phone: 317-765-9049