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General NPI Number Information
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NPI Number | 1801500863
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Entity Type | Organization
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Legal Business Name | HEAVENLY HOLDEN HOMECARE AGENCY LLC
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Dates
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Enumeration Date | 01/12/2023
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Last Update Date | 03/24/2025
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Provider Practice Location Address
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Address Line | 8987 US HIGHWAY 259
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City | NACOGDOCHES
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State | TX
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Zip | 75965-0826
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Country | US
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Telephone | 832-797-9028
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Fax |
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Provider Business Mailing Address
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Address Line | 8987 US HIGHWAY 259
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City | NACOGDOCHES
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State | TX
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Zip | 75965-0826
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Country | US
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Telephone | 832-797-9028
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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. CIERRIA ESTAVONNE NASH
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Credential |
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Telephone | 832-704-8325
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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