Organization Active NPI

Heaven-on-Earth Network, Inc.

  • Personal Care Attendant
  • Lake Charles, LA
National Provider Identifier
1114089356
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
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

Updated by the provider on May 1, 2025

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)CodeLicenseStatePrimary
Personal Care AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1460893MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Heaven-on-Earth Network Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.