Heavenly Care Llc

LBN: Heavenly Care Llc
Heavenly Care Llc is an health care organization with primary practice located at 3129 W Acapulco Ln , Phoenix AZ 85053-4885. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Heavenly Care Llc can be contacted via phone (601) 316-1347, or through Doris, Kanobayita via phone (601) 316-1347.

Contact Information

Primary practice address
3129 W Acapulco Ln Phoenix AZ 85053-4885
Phone: (601) 316-1347
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Doris, Kanobayita
Phone: (601) 316-1347

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X

Profile Details

NPI number 1750956744
LBN Legal business name Heavenly Care Llc
DBA Doing business as
Authorized official Doris, Kanobayita
Entity Organization
Organization subpart 1 No
Enumeration date May 24th, 2021
Last updated Feb 28th, 2023 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1750956744 NPPES
Arizona MEDICAID 092973

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