Healthcare Provider Details

I. General information

NPI: 1811293814
Provider Name (Legal Business Name): HEAVEN SENT HOME HEALTH CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2011
Last Update Date: 09/15/2025
Certification Date: 09/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

716 S PARK AVE
ALEXANDRIA IN
46001-2438
US

IV. Provider business mailing address

716 S PARK AVE
ALEXANDRIA IN
46001-2438
US

V. Phone/Fax

Practice location:
  • Phone: 765-557-8249
  • Fax: 888-823-8384
Mailing address:
  • Phone: 765-557-8249
  • Fax: 888-823-8384

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number110126122
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number15-012612-1
License Number StateIN
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MARY B MURPHY
Title or Position: CEO
Credential:
Phone: 765-557-8249