Heavenly Haven

LBN: Heavenly Haven
Heavenly Haven is an health care organization with primary practice located at 4748 Clover St Unit A, Houston TX 77033-4047. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Mental Health, which is considered as the primary health care specialty. Heavenly Haven can be contacted via phone (832) 433-8433, or through Dyer, Andrea via phone (832) 433-8433.

Contact Information

Primary practice address
4748 Clover St Unit A Houston TX 77033-4047
Phone: (832) 433-8433
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Dyer, Andrea
Phone: (832) 433-8433

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X

Profile Details

NPI number 1295284727
LBN Legal business name Heavenly Haven
DBA Doing business as
Authorized official Dyer, Andrea
Entity Organization
Organization subpart 1 No
Enumeration date Sep 26th, 2016
Last updated Sep 26th, 2016 - about 9 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 1295284727 NPPES
Texas MEDICAID 261QM0850X

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