Healthcare Provider Details

I. General information

NPI: 1225609365
Provider Name (Legal Business Name): HEAVENS CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2021
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

341 FERNWOOD DR. HOUSE
AKRON OH
44320-4432
US

IV. Provider business mailing address

341 FERNWOOD DR
AKRON OH
44320-2317
US

V. Phone/Fax

Practice location:
  • Phone: 330-227-3927
  • Fax:
Mailing address:
  • Phone: 330-227-8367
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: EBONI ONEIL
Title or Position: CEO
Credential:
Phone: 330-227-8367