Healthcare Provider Details

I. General information

NPI: 1588508642
Provider Name (Legal Business Name): HEAVEN LUXE CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2026
Last Update Date: 04/17/2026
Certification Date: 04/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1818 MERRY PL APT 201
WEST PALM BEACH FL
33407-6362
US

IV. Provider business mailing address

1818 MERRY PL APT 201
WEST PALM BEACH FL
33407-6362
US

V. Phone/Fax

Practice location:
  • Phone: 561-772-0749
  • Fax: 561-772-0749
Mailing address:
  • Phone: 561-772-0749
  • Fax: 561-772-0749

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: JOVASHA BROWN
Title or Position: MANAGER
Credential:
Phone: 561-772-0749