HEAVN ON EARTH NPI 1528749330

NPI Information

NPI: 1528749330
Provider Name: HEAVN ON EARTH
Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

Address:
3847A S CRATER RD
PETERSBURG, VA
ZIP 23805
Phone: (804) 420-7667
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HEAVN ON EARTH is an adult day care clinic center in Petersburg, VA. HEAVN ON EARTH NPI is 1528749330. The provider is registered as an organization entity type.

The provider's business location address is:

3847A S CRATER RD
PETERSBURG, VA
ZIP 23805-203
Phone: (804) 420-7667
Fax: (804) 732-3961

The provider's authorized official is Melissa Quarterman .
The authorized official title is Executive Director and has the following contact phone number (804) 420-7667.

The enumeration date for this NPI number is 7/26/2023 and was last updated on 7/26/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251C00000X	Day Training, Developmentally Disabled Services				No
2	261QA0600X	Clinic/Center	Adult Day Care			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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