Organization
HEAVENS TOUCH NURSING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LESHA J IVEY RN (CEO)
(804) 377-6966
Entity
Organization
Contact information
Practice address
7124 FOREST HILL AVE STE C, RICHMOND, VA 23225-1541
(804) 377-6966
(804) 726-6251
Mailing address
7124 FOREST HILL AVE STE C, RICHMOND, VA 23225-1541
(804) 377-6966
(804) 726-6251
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
497599
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010031435
—
VA
01
—
010038049
HOME BASED AIDS SERVCES
VA
01
—
010050910
MEDICAID RESPITE NUMBER
VA
01
—
010050987
PRIVATE DUTY NURSING
VA
01
—
010050995
EXPANDED PRENATAL&INFANT
VA
01
—
010196892
SKILLED NURSING VISIT
VA
05
—
010196892
—
VA
Enumeration date
07/21/2006
Last updated
04/05/2012
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