Provider Demographics
NPI:1679144992
Name:HEAVENS BLESSINGS NEMT SERVICES, LLC
Entity type:Organization
Organization Name:HEAVENS BLESSINGS NEMT SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVENPORT-CLARK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-652-0464
Mailing Address - Street 1:196 HIGHWAY 3175 BYP
Mailing Address - Street 2:
Mailing Address - City:NATCHITOCHES
Mailing Address - State:LA
Mailing Address - Zip Code:71457-9108
Mailing Address - Country:US
Mailing Address - Phone:318-581-8734
Mailing Address - Fax:
Practice Address - Street 1:196 HIGHWAY 3175 BYP
Practice Address - Street 2:
Practice Address - City:NATCHITOCHES
Practice Address - State:LA
Practice Address - Zip Code:71457-9108
Practice Address - Country:US
Practice Address - Phone:318-581-8734
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-07
Last Update Date:2021-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)