Healthcare Provider Details

I. General information

NPI: 1770364697
Provider Name (Legal Business Name): HEAVEN SENT US
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2023
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7762 BRIAR FOREST LN
RIVERDALE GA
30296-3395
US

IV. Provider business mailing address

600 W PEACHTREE ST NW STE 1700
ATLANTA GA
30308-3631
US

V. Phone/Fax

Practice location:
  • Phone: 404-491-0815
  • Fax:
Mailing address:
  • Phone: 404-491-0815
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: RONIESHA FORD CLEOPHAT
Title or Position: OWNER
Credential:
Phone: 404-491-0815