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 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Mental Health, Nursing & Custodial Care Facilities / Adult Care Home. Nursing & Custodial Care Facilities / Adult Care Home is 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
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X

Profile Details

NPI number 1871044925
LBN Legal business name Heavenly Haven
DBA Doing business as
Authorized official Dyer, Andrea
Entity Organization
Organization subpart 1 No
Enumeration date Oct 24th, 2016
Last updated Feb 22nd, 2019 - about 5 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 1871044925 NPPES
Texas MEDICAID 1649628033

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