Provider Demographics
NPI:1750795431
Name:HEAVENS HELP CARE AGENCY LLC
Entity type:Organization
Organization Name:HEAVENS HELP CARE AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:MAGGIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BOUNDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-332-0708
Mailing Address - Street 1:2115 EDMUND AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63121-5613
Mailing Address - Country:US
Mailing Address - Phone:314-332-0708
Mailing Address - Fax:314-932-5436
Practice Address - Street 1:625 N EUCLID AVE
Practice Address - Street 2:SUITE 320 D
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63108-1690
Practice Address - Country:US
Practice Address - Phone:314-332-0708
Practice Address - Fax:314-932-5436
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-20
Last Update Date:2014-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care