Healthcare Provider Details

I. General information

NPI: 1902132863
Provider Name (Legal Business Name): HEAVENS CARING, LLC HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/28/2009
Last Update Date: 12/07/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 RAYMOND RD
DEERFIELD NH
03037-1536
US

IV. Provider business mailing address

55 RAYMOND RD
DEERFIELD NH
03037-1536
US

V. Phone/Fax

Practice location:
  • Phone: 603-370-1850
  • Fax: 603-463-8333
Mailing address:
  • Phone: 603-370-1850
  • Fax: 603-463-8333

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number03193
License Number StateNH

VIII. Authorized Official

Name: MRS. LYUBOMIRA I PILIPCHUK
Title or Position: OWNER/MANAGER
Credential: MBA
Phone: 603-370-1850