Provider Demographics
NPI:1861389025
Name:HEAVENLY ANGELS HOME CARE LLC
Entity type:Organization
Organization Name:HEAVENLY ANGELS HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHARMAINE
Authorized Official - Middle Name:
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:412-883-9846
Mailing Address - Street 1:700 RIVER AVE STE 237
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15212-5907
Mailing Address - Country:US
Mailing Address - Phone:412-883-9846
Mailing Address - Fax:
Practice Address - Street 1:700 RIVER AVE STE 237
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15212-5907
Practice Address - Country:US
Practice Address - Phone:412-883-9846
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-20
Last Update Date:2025-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1922726793OtherINDIVIDUAL