# HEAVENLY CARE LLC.

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

## Provider details

- **NPI number:** 1356030662
- **Authorized official:** MS. MELISSA COUSAR CNA (ASSISTANT ADMINISTRATOR)
- **Authorized official phone:** (757) 264-1381

## Contact information

- **Practice address:** 2424 RUFFIN ST, NORFOLK, VA 23504-2132
- **Practice address phone:** (757) 264-1381
- **Mailing address:** 2424 RUFFIN ST, NORFOLK, VA 23504-2132
- **Mailing address phone:** (757) 264-1381

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |

## Other

- **Enumeration date:** 05/03/2023
- **Last updated:** 05/03/2023