Healthcare Provider Details

I. General information

NPI: 1396685350
Provider Name (Legal Business Name): HEAVENLY HELPERS AND CAREGIVERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2026
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

361 SLATE DR
BOILING SPRINGS SC
29316-7445
US

IV. Provider business mailing address

361 SLATE DR
BOILING SPRINGS SC
29316-7445
US

V. Phone/Fax

Practice location:
  • Phone: 704-807-5925
  • Fax: 704-807-5925
Mailing address:
  • Phone: 704-807-5925
  • Fax: 704-807-5925

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: NDOPU TEMUKUM FIAH
Title or Position: OWNER
Credential: FIAH
Phone: 704-807-5925