Heaven-on-Earth Network, Inc.

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

Nov 28, 2006

Last updated

Aug 29, 2023By the provider in NPPES

Organization subpart

No

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 2

Addresses

Other identifiers 1

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.

• Heaven-on-Earth Network of Mamou, LLC

  • Adult Companion
  • Mamou, LA
  • NPI 1184851453
  NPD tax ID
• Heaven-on-Earth Network, Inc.

  • Personal Care Attendant
  • Lake Charles, LA
  • NPI 1114089356
  NPD tax ID
• Heaven-on-Earth Network, Inc.

  • Personal Care Attendant
  • Lake Charles, LA
  • NPI 1205998440
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693267200000",
    "number": "1215003397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": "2006-11-28",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "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": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "LA",
            "license": "PCA 10734",
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1171336",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heart of Hospice LLC
• Heart of Hospice of Lake Charles LLC
• Heaven Leigh Healthcare
• Heaven-on-Earth Network, Inc.
• Heaven-on-Earth Network, Inc.
• Tyler Dietz Heberle
• Annie Watkins Hebert
• Brionne Hebert
• Derek B Hebert
• Dustin James Hebert, LMT

• Personal Care Attendant in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Personal Care Attendant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; 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.