MEDICARE: HEAVEN SENT HOME HEALTH CARE INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)	NV
2	332B00000X	Durable Medical Equipment & Medical Supplies	NV
3	332BX2000X	Oxygen Equipment & Supplies (DME)	NV
4	347C00000X	Private Vehicle
5	251E00000X	Home Health Agency	NV

General Provider Information

NPI Number	:	1649511478
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEAVEN SENT HOME HEALTH CARE INC

Provider Business Mailing Address
First Line	:	4629 CHANTED HEART AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89115-3502
Country	:	US
Telephone Number	:	702-998-2282
Fax Number	:

Provider Business Practice Location Address
First Line	:	4629 CHANTED HEART AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89115-3502
Country	:	US
Telephone Number	:	702-998-2282
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	PRECIOUS P MCCLAY-CABANISS
Credential	:
Telephone Number	:	702-998-2282

Provider Enumeration Date	:	03/04/2013
Last Update Date	:	03/04/2013

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