Healthcare Provider Details

I. General information

NPI: 1003130741
Provider Name (Legal Business Name): ALMOST HEAVEN IN HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2010
Last Update Date: 03/24/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3744 TEAYS VALLEY RD SUITE 209
HURRICANE WV
25526-8755
US

IV. Provider business mailing address

3744 TEAYS VALLEY RD SUITE 209
HURRICANE WV
25526-8755
US

V. Phone/Fax

Practice location:
  • Phone: 304-757-6537
  • Fax: 304-757-6538
Mailing address:
  • Phone: 304-757-6537
  • Fax: 304-757-6538

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number22333708
License Number StateWV

VIII. Authorized Official

Name: PATRICIA LYNN PROCTOR
Title or Position: OWNER
Credential:
Phone: 304-757-6537