Organization
HEAVENLY HANDS HOME HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAUREN WILSON (OWNER/ADMINISTRATOR)
(757) 230-0056
Entity
Organization
Contact information
Practice address
4425 PORTSMOUTH BLVD STE 210E, CHESAPEAKE, VA 23321-2152
(757) 230-0056
Mailing address
4425 PORTSMOUTH BLVD STE 110, CHESAPEAKE, VA 23321-2152
(757) 488-0759
(757) 809-5688
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
385H00000X
Respite Care
HCO-181137
VA
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HCO-181137
—
VA
Enumeration date
09/05/2017
Last updated
11/22/2022
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