MEDICARE: HEAVENLY HOME HEALTH SERVICES INC

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	3747P1801X	Personal Care Attendant
2	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1821279316
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEAVENLY HOME HEALTH SERVICES INC

Provider Business Mailing Address
First Line	:	13210 RICHMOND AVE
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77082-3508
Country	:	US
Telephone Number	:	832-439-3365
Fax Number	:	281-679-7212

Provider Business Practice Location Address
First Line	:	13210 RICHMOND AVE
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77082-3508
Country	:	US
Telephone Number	:	281-679-7212
Fax Number	:	281-679-7212

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MRS. ADELANKE STELLA OYEKU
Credential	:
Telephone Number	:	832-439-3365

Provider Enumeration Date	:	11/26/2007
Last Update Date	:	12/01/2020

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Directions to “HEAVENLY HOME HEALTH SERVICES INC ” Practice Location

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