=====================================================
General NPI Number Information
=====================================================
NPI Number | 1679144992
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HEAVEN'S BLESSINGS NEMT SERVICES, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/07/2021
-----------------------------------------------------
Last Update Date | 08/09/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1754 TEXAS STREET
-----------------------------------------------------
City | NATCHITOCHES
-----------------------------------------------------
State | LA
-----------------------------------------------------
Zip | 71457-3429
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 318-581-8734
-----------------------------------------------------
Fax | 318-352-5955
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | P.O. BOX 374
-----------------------------------------------------
City | NATCHITOCHES
-----------------------------------------------------
State | LA
-----------------------------------------------------
Zip | 71458-0374
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 318-581-8734
-----------------------------------------------------
Fax | 318-352-5955
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/MANAGER
-----------------------------------------------------
Name | MRS. KATHY DAVENPORT-CLARK
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 318-581-8734
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 343900000X
-----------------------------------------------------
Taxonomy Name | Non-emergency Medical Transport (VAN)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------