MEDICARE: HEAVENLY GUIDED HANDS 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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1902764798
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEAVENLY GUIDED HANDS LLC

Provider Business Mailing Address
First Line	:	14019 SUMMER ASH LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77044-5017
Country	:	US
Telephone Number	:	713-373-7234
Fax Number	:

Provider Business Practice Location Address
First Line	:	14019 SUMMER ASH LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77044-5017
Country	:	US
Telephone Number	:	713-373-7234
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CYNTHIA LOU RIVERA HARRIS
Credential	:
Telephone Number	:	956-465-3946

Provider Enumeration Date	:	01/12/2026
Last Update Date	:	01/12/2026

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Directions to “HEAVENLY GUIDED HANDS LLC ” Practice Location

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