MEDICARE: HEAVENLY SENT HOME CARE SERVICES LLC

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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1508376138
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEAVENLY SENT HOME CARE SERVICES LLC

Provider Business Mailing Address
First Line	:	20557 MORNINGSIDE TER
Second Line	:
City	:	STERLING
State	:	VA
Zip	:	20165-3597
Country	:	US
Telephone Number	:	571-282-8924
Fax Number	:

Provider Business Practice Location Address
First Line	:	20557 MORNINGSIDE TER
Second Line	:
City	:	STERLING
State	:	VA
Zip	:	20165-3597
Country	:	US
Telephone Number	:	571-282-8924
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SHAMEEQUR ROBBINS
Credential	:
Telephone Number	:	571-282-8924

Provider Enumeration Date	:	10/10/2017
Last Update Date	:	04/29/2021

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Directions to “HEAVENLY SENT HOME CARE SERVICES LLC ” Practice Location

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