# HEAVENLY HANDS HEALTHCARE, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124374236
- **Authorized official:** AMETHA CHERIE BROADWATER LPN (OWNER)
- **Authorized official phone:** (423) 646-1560

## Contact information

- **Practice address:** 151 REEDY ST, BRISTOL, VA 24201-3126
- **Practice address phone:** (423) 646-1560
- **Mailing address:** 151 REEDY ST, BRISTOL, VA 24201-3126

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 2012 24558 | TN | — |
| 251E00000X | Home Health Agency | 27326 | VA | Yes |

## Other

- **Enumeration date:** 07/26/2012
- **Last updated:** 07/26/2012