MEDICARE: HEAVEN TO EARTH CARE MEDICAL TRANSPORTATION 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	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1942135124
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEAVEN TO EARTH CARE MEDICAL TRANSPORTATION LLC

Provider Business Mailing Address
First Line	:	4626 S PIPKIN RD
Second Line	:
City	:	LAKELAND
State	:	FL
Zip	:	33811-1428
Country	:	US
Telephone Number	:	813-464-1605
Fax Number	:

Provider Business Practice Location Address
First Line	:	4626 S PIPKIN RD
Second Line	:
City	:	LAKELAND
State	:	FL
Zip	:	33811-1428
Country	:	US
Telephone Number	:	813-464-1605
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MRS. LA'TOYA GOLDEN
Credential	:
Telephone Number	:	229-630-9040

Provider Enumeration Date	:	06/17/2026
Last Update Date	:	06/17/2026

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