Healthcare Provider Details

I. General information

NPI: 1275440612
Provider Name (Legal Business Name): MY HEAVENLY HELPERS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3866 PRESCOTT LOOP
LAKELAND FL
33810-2777
US

IV. Provider business mailing address

3866 PRESCOTT LOOP
LAKELAND FL
33810-2777
US

V. Phone/Fax

Practice location:
  • Phone: 718-809-6117
  • Fax: 718-809-6117
Mailing address:
  • Phone: 718-809-6117
  • Fax: 718-809-6117

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State

VIII. Authorized Official

Name: MRS. ELIZABETH MALE ESPINAL ROLON
Title or Position: PRESIDENT
Credential: MS, SPHR
Phone: 718-809-6117