Active NPI
Heaven-on-Earth Network, Inc.
- Personal Care Attendant
- Lake Charles, LA
National Provider Identifier
1114089356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- Legal business name
- HEAVEN-ON-EARTH NETWORK, INC.
- Practice address
- 3200 2ND Ave
Lake Charles, LA 70601-8922 - Phone
- (337) 562-1373
- Fax
- (337) 562-1374
- NPI assigned
- Dec 14, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rene M Guillory
- Title
- Director
- Phone
- (337) 562-1373
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Primary |
Addresses
Primary practice location
3200 2ND Ave
Lake Charles, LA 70601-8922
Mailing address
3200 2ND Ave Ste a
Lake Charles, LA 70601-8922
Phone (337) 562-1373
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1460893 | Medicaid | LA |
National Provider Directory
National Provider Directory- Tax ID family
- Heaven-on-Earth Network Inc
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Adult Companion
- Mamou, LA
- NPI 1184851453
-
- Personal Care Attendant
- Lake Charles, LA
- NPI 1205998440
-
- Personal Care Attendant
- Lake Charles, LA
- NPI 1215003397
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1746057600000",
"number": "1114089356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 2ND AVE STE A",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706018922",
"telephone_number": "337-562-1373",
"fax_number": "337-562-1374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 2ND AVE",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706018922",
"telephone_number": "337-562-1373",
"fax_number": "337-562-1374"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEAVEN-ON-EARTH NETWORK, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-14",
"last_updated": "2025-05-01",
"certification_date": "2025-05-01",
"status": "A",
"authorized_official_last_name": "GUILLORY",
"authorized_official_first_name": "RENE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "337-562-1373"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1460893",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake Charles, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.