Heavenly Assisted Living, Inc.

LBN: Heavenly Assisted Living, Inc.
Heavenly Assisted Living, Inc. is an health care organization with primary practice located at 401 Orange Ave , Port Orange FL 32127-4444. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Heavenly Assisted Living, Inc. can be contacted via phone (386) 761-6268, or through Fissiha, Yohannes via phone (386) 767-6268.

Contact Information

Primary practice address
401 Orange Ave Port Orange FL 32127-4444
Phone: (386) 761-6268
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Fissiha, Yohannes
Phone: (386) 767-6268

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X

Profile Details

NPI number 1407467806
LBN Legal business name Heavenly Assisted Living, Inc.
DBA Doing business as
Authorized official Fissiha, Yohannes
Entity Organization
Organization subpart 1 No
Enumeration date Aug 11th, 2020
Last updated Aug 24th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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