Organization
HEAVENLY HOME CARE SERVICES LLC
Active
Other names
Heavenly Home Care Services LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ADRAIN LETISHA PATTERSON RN (REGISTERED NURSE)
(864) 735-0692
Entity
Organization
Contact information
Practice address
1434A W MARKET ST, ANDERSON, SC 29624-1328
(864) 221-1441
Mailing address
PO BOX 3756, ANDERSON, SC 29622-3756
(864) 221-1441
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134866148
—
SC
Enumeration date
10/21/2022
Last updated
05/23/2025
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