HEAVENLY HAVEN, INC. (NPI# 1396702866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396702866 |
| Entity Type | Organization |
| Organization Name | HEAVENLY HAVEN, INC. |
| Practice Address |
4824 E Brookstown Dr Baton Rouge LA 70805-3823 |
| Practice Telephone | 2253577206 |
| Practice Fax Number | 2553576424 |
| Mailing Telephone | 2253577206 |
| Mailing Fax Number | 2553576424 |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. DOROTHY NELSON (CEO) |
| Authorized Official Telephone | 2253552498 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 385H00000X | Respite Care | 7254 | LA | Respite Care Facility |
| X | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 7258 | LA | Residential Treatment Facilities |
| Street Address |
4824 E BROOKSTOWN DR |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70805-3823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467760579 | Heavenly Haven Care Service | Home Health | 4824 E Brookstown Dr, Baton Rouge, LA 70805-3823 | 2010-09-23 |
| 1306005996 | Heavenly Haven | Home Health | 4824 E Brookstown Dr, Baton Rouge, LA 70805-3823 | 2008-06-09 |
| 1659544377 | Heavenly Haven | Home Health | 4824 E Brookstown Dr, Baton Rouge, LA 70805-3823 | 2008-04-03 |
| 1174794325 | Heavenly Haven | Home Health | 4824 E Brookstown Dr, Baton Rouge, LA 70805-3823 | 2008-03-17 |
| 1487825741 | Heavenly Haven | Home Health | 4824 E Brookstown Dr, Baton Rouge, LA 70805-3823 | 2008-03-14 |
| 1740489152 | Heavenly Haven | Home Health | 4824 E Brookstown Dr, Baton Rouge, LA 70805-3823 | 2007-07-16 |
| 1093913485 | Heavenly Haven | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4824 E Brookstown Dr, Baton Rouge, LA 70805-3823 | 2007-07-06 |
| 1659577922 | Heavenly Haven | Home Health | 4824 E Brookstown Dr, Baton Rouge, LA 70805-3823 | 2007-06-25 |
| 1952424194 | Heavenly Haven | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4824 E Brookstown Dr, Baton Rouge, LA 70805-3823 | 2007-04-10 |
| 1861515009 | Heavenly Haven | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4824 E Brookstown Dr, Baton Rouge, LA 70805-3823 | 2007-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306481445 | Upgrade Group Home LLC | Residential Treatment Facility, Emotionally Disturbed Children | 3719 Katherine Ave, 3719 Katherine Ave, Baton Rouge, LA 70805 | 2019-11-13 |
| 1164991899 | Hip Hop Barbers, LLC | Specialist | 5709 Hollywood Crossover St, Baton Rouge, LA 70805 | 2018-11-26 |
| 1093234783 | Omar Feme Braggs I | Counselor | 3973 Choctaw Drive, Baton Rouge, LA 70805 | 2017-09-13 |
| 1558883116 | Jeffrey Williams | Counselor | 3456 Eaton Street, Baton Rouge, LA 70805 | 2017-07-14 |
| 1215466628 | Angel Danielle Morgan | Counselor | 3540 Ontario St., Baton Rouge, LA 70805 | 2017-06-08 |
| 1376904151 | Mama's Medical Transportation | Non-emergency Medical Transport (VAN) | 2727 North Ardenwood Dr., Baton Rouge, LA 70805 | 2016-03-08 |
| 1013389105 | Tiffany Thomas | Counselor | 8325 Kelwood Avenue, Baton Rouge, LA 70805 | 2015-10-28 |
| 1366823395 | Travia Linette Washington | Community Health Worker | 2959 Sherwood St, Baton Rouge, LA 70805 | 2015-06-16 |
| 1295000164 | Capital Area Human Services District | Substance Abuse Rehabilitation Facility | 2455 Wooddale Blvd., Baton Rouge, LA 70805 | 2012-03-12 |
| 1427332238 | Carl P Thibodeaux | Pharmacist | 5889 Airline Highway, Baton Rouge, LA 70805 | 2011-09-29 |
| Find all providers in zip 70805 | ||||
| Taxonomy Code | 385H00000X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952866949 | Assisted Hands LLC | Respite Care | 3233 S Sherwood Frst Ste 203, Baton Rouge, LA 70816-2250 | 2019-02-05 |
| 1184090227 | Collins Professional Healthcare | Respite Care | 8034 Scenic Hwy, Baton Rouge, LA 70807-4925 | 2015-08-12 |
| 1336367192 | American Health Inc | Respite Care | 144 Mcgehee Dr, Baton Rouge, LA 70815-5012 | 2007-04-24 |
| 1609099845 | Association Retarded Citizens Baton Rouge | Respite Care | 15059 Florida Blvd, Baton Rouge, LA 70819-2602 | 2007-04-10 |
| 1962526178 | Significant Healthcare Services, LLC | Respite Care | 9550 Breeden Drive, Baton Rouge, LA 70811 | 2007-03-16 |
| 1851321798 | Significant Healthcare Services, LLC | Respite Care | 9550 Breeden Dr, Baton Rouge, LA 70811-2149 | 2006-07-04 |
| 1437764784 | Louisiana Health & Rehabilitation Coptions | Respite Care | 4255 E Brookstown Dr, Baton Rouge, LA 70805-4603 | 2020-09-14 |
| 1932501442 | Turning Point Outreach Services | Respite Care | 8356 Tom Dr, Baton Rouge, LA 70815-8050 | 2014-09-16 |
| 1386934198 | Friends & Family | Respite Care | 11606 Southfork Ave, Suite 501, Baton Rouge, LA 70816-5235 | 2011-04-13 |
| 1932366994 | American Health Inc | Respite Care | 144 Mcgehee Dr, Baton Rouge, LA 70815-5012 | 2008-05-19 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70805 |
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| 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.