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General NPI Number Information
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NPI Number | 1902523822
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Entity Type | Organization
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Legal Business Name | HEAVENLY HOME CARE SERVICES LLC
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Dates
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Enumeration Date | 10/21/2022
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Last Update Date | 05/23/2025
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Provider Practice Location Address
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Address Line | 1434A W MARKET ST
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City | ANDERSON
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State | SC
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Zip | 29624-1328
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Country | US
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Telephone | 864-221-1441
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3756
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City | ANDERSON
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State | SC
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Zip | 29622-3756
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Country | US
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Telephone | 864-221-1441
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Fax |
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Authorized Official
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Title or Position | REGISTERED NURSE
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Name | ADRAIN LETISHA PATTERSON
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Credential | RN
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Telephone | 864-735-0692
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #3
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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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