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General NPI Number Information
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NPI Number | 1053516419
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Entity Type | Organization
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Legal Business Name | SENT FROM HEAVEN HOME CARE LLC
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Dates
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Enumeration Date | 06/17/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 833 NEW FRANKLIN RD SUITE 6
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City | LAGRANGE
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State | GA
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Zip | 30240-1843
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Country | US
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Telephone | 706-416-2097
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Fax |
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Provider Business Mailing Address
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Address Line | 833 NEW FRANKLIN RD SUITE 6
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City | LAGRANGE
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State | GA
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Zip | 30240-1843
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Country | US
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Telephone | 706-416-2097
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. KIMBERLY PURVIS
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Credential | LPN
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Telephone | 706-416-2097
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | LPN 066071
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License Number State | GA
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