Organization
HEAVEN SENT HOME HEALTH SYSTEMS
Active
Other names
Heaven Sent Home Health Systems
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WANDA S BETANCOURT RN (OWNER)
(574) 229-8749
Entity
Organization
Contact information
Practice address
2015 W WESTERN AVE STE 132, SOUTH BEND, IN 46619-3561
(574) 229-8749
(574) 855-1915
Mailing address
2015 W WESTERN AVE STE 132, SOUTH BEND, IN 46619-3561
(574) 229-8749
(574) 855-1915
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
14-014155-1
IN
163WC1500X
Community Health Registered Nurse
14-014155-1
IN
163WD0400X
Diabetes Educator Registered Nurse
14-014155-1
IN
163WH0200X
Home Health Registered Nurse
14-014155-1
IN
163WH0200X
Home Health Registered Nurse
28217649A
IN
163WI0500X
Infusion Therapy Registered Nurse
14-014155-1
IN
163WI0600X
Infection Control Registered Nurse
14-014155-1
IN
163WW0000X
Wound Care Registered Nurse
14-014155-1
IN
164W00000X
Licensed Practical Nurse
14-014155-1
IN
372600000X
Adult Companion
14-014155-1
IN
374U00000X
Home Health Aide
14-014155-1
IN
376J00000X
Homemaker
14-014155-1
IN
376K00000X
Nurse's Aide
14-014155-1
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14-014155-1
INDIANA STATE DEPARTMENT OF HEALTH
IN
Enumeration date
06/15/2017
Last updated
07/21/2022
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