Provider Demographics
NPI:1053516419
Name:SENT FROM HEAVEN HOME CARE LLC
Entity type:Organization
Organization Name:SENT FROM HEAVEN HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:PURVIS
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:706-416-2097
Mailing Address - Street 1:833 NEW FRANKLIN RD
Mailing Address - Street 2:SUITE 6
Mailing Address - City:LAGRANGE
Mailing Address - State:GA
Mailing Address - Zip Code:30240-1843
Mailing Address - Country:US
Mailing Address - Phone:706-416-2097
Mailing Address - Fax:
Practice Address - Street 1:833 NEW FRANKLIN RD
Practice Address - Street 2:SUITE 6
Practice Address - City:LAGRANGE
Practice Address - State:GA
Practice Address - Zip Code:30240-1843
Practice Address - Country:US
Practice Address - Phone:706-416-2097
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPN 066071251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health