# HEAVEN'S COVE I - IV, LLC

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

## Provider details

- **NPI number:** 1356498000
- **Authorized official:** ANDREA MOORE (CEO)
- **Authorized official phone:** (516) 835-4109

## Contact information

- **Practice address:** 5280 WINSLOW XING N, LITHONIA, GA 30038-1142
- **Practice address phone:** (678) 395-4423
- **Mailing address:** 13295 PROVIDENCE LAKE DR, ALPHARETTA, GA 30004-7507
- **Mailing address phone:** (516) 883-5410
- **Mailing address fax:** (770) 772-7331

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 0411016269 | GA | Yes |

## Other

- **Enumeration date:** 01/04/2007
- **Last updated:** 08/22/2020