HEAVEN CARE LLC


Address: 2828 S Standage, Mesa, AZ 85202-8139
Phone: 4805804062

HEAVEN CARE LLC (NPI# 1194297838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194297838
Entity Type Organization
Organization Name HEAVEN CARE LLC
Practice Address 2828 S Standage
Mesa
AZ 85202-8139
Mailing Address 3116 S Mill Ave Ste 176
Tempe
AZ 85282-3675
Practice Telephone 4805804062
Practice Fax Number 4808394273
Mailing Telephone 4805804062
Mailing Fax Number 4808394273
Enumeration Date 2018-12-19
Last Update Date 2018-12-19
Authorized Official Name WESLEY YOUNG (OWNER)
Authorized Official Telephone 4805804062
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 385H00000X Respite Care Respite Care Facility
N 3747A0650X Technician
Specialization: Attendant Care Provider
Nursing Service Related Providers
Y 385HR2060X Respite Care
Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child
Respite Care Facility

Other Provider/Organization Names

Other Name Type Code
Heaven Care LLC Doing Business As Name - Organization

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities HEAVEN CARE LLC 2828 S Standage, Mesa, AZ 85202-8139

Office Location

Street Address 2828 S STANDAGE
City MESA
State AZ
Zip Code 85202-8139

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1275173536 Samuel A Wolde Counselor Clear View Counseling, 2651 W Guadalupe Rd, Mesa, AZ 85202 2020-01-14
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1245724822 Medsource Orthotics & Prosthetics, Inc Prosthetic/Orthotic Supplier 1450 S Dobson Rd Ste B326, Mesa, AZ 85202 2018-06-18
1457843310 Jay Douglas Baumgardner Physical Therapist 1941 W. Guadalupe Rd. Suite 109, Mesa, AZ 85202 2018-06-05
1144746215 Alyson Fix Physician Assistant 1432 S Dobson Rd Ste 304, Mesa, AZ 85202 2017-08-20
1194108852 Robert Dale Labrum Counselor 1255 W Baseline Rd Ste B-258, Mesa, AZ 85202 2015-06-30
1114325677 John David Shull Jr. Physician Assistant 1520 S Dobson Rd Ste 305, Mesa, AZ 85202 2014-12-16
1316356207 Embry Womens Health LLC Nurse Practitioner 2204 S Dobson Road, Suite 203, Mesa, AZ 85202 2014-08-05
1619312899 Fiza Naueed Khan Internal Medicine 1400 South Dobson Road, Attn: Bmg Hospitalists Team/amanda Gump, Mesa, AZ 85202 2013-05-01
1487903373 Jodi Lynn Mealer Pharmacist 1951 W. Baseline Rd., Mesa, AZ 85202 2012-09-06
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Taxonomy Information

Taxonomy Code 385HR2060X
Grouping Respite Care Facility
Classification Respite Care
Specialization Respite Care, Mental Retardation and/or Developmental Disabilities, Child

Taxonomy Definition

A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental retardation and/or developmental disabilities as respite for the regular caregivers.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851801690 Rescare Residential Services Arizona, LLC Respite Care 1830 S Alma School Rd Ste 122, Mesa, AZ 85210-3087 2017-10-06
1922454305 Api Passionate Care Services Respite Care 441 S El Dorado, Mesa, AZ 85202-1713 2016-05-04
1699023846 Itc Personal In-home Care LLC Respite Care 1345 E Main St Ste 110, Mesa, AZ 85203-8950 2012-08-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1790324606 Assure Health Care Group of Arizona, LLC Respite Care 4682 W Oakland St, Chandler, AZ 85226-2924 2019-12-26
1952955593 Healthcare Specialist Staffing Solutions, LLC Respite Care 2224 W Northern Ave Ste D260, Phoenix, AZ 85021-4922 2019-08-01
1699330241 Charity Adaeze Emeka Respite Care 1275 E Clark Dr # 1275, Gilbert, AZ 85297-6880 2019-05-08
1467919399 Unicorn Haven LLC Respite Care 1445 E Guadalupe Rd Ste 109, Tempe, AZ 85283-3953 2019-02-27
1679914345 Unique Family Services, LLC Respite Care 5010 E Warner Rd Ste 107, Phoenix, AZ 85044-3354 2013-07-10
1386917417 Caring Together,llc Respite Care 2957 E 24th Street, Tucson, AZ 85713 2012-02-21
1104119411 Child Enrichment Center LLC Respite Care 2942 N 24th St Ste 114642, Phoenix, AZ 85016-7844 2011-05-18
1568761419 Arts for All, Inc. Respite Care 2520 N Oracle Rd, Tucson, AZ 85705-4324 2011-03-17
1003138595 Next Level Adult Developmental Care Respite Care 2324 W Carson Rd, Phoenix, AZ 85041-6408 2010-02-24
1568693950 Resiliency Provider Services Respite Care 12312 W Delwood Dr, Arizona City, AZ 85223-5577 2009-08-03
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Competitor

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City MESA
Zip Code 85202

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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