MEDICARE: HEAVENSENT HOME HEALTH SOLUTIONS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency		SC
2	251E00000X	Home Health Agency		SC

General Provider Information

NPI Number	:	1356571244
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEAVENSENT HOME HEALTH SOLUTIONS

Provider Business Mailing Address
First Line	:	PO BOX 5892
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29606-5892
Country	:	US
Telephone Number	:	864-346-4252
Fax Number	:

Provider Business Practice Location Address
First Line	:	508 STONEMINT CT
Second Line	:
City	:	SIMPSONVILLE
State	:	SC
Zip	:	29680-7323
Country	:	US
Telephone Number	:	864-346-4252
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	MRS. JOY MADONNA LADSON
Credential	:
Telephone Number	:	864-346-4252

Provider Enumeration Date	:	07/26/2009
Last Update Date	:	07/26/2009

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Directions to “HEAVENSENT HOME HEALTH SOLUTIONS ” Practice Location

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