HEAVENLY HAVEN (NPI# 1659577922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659577922 |
| Entity Type | Organization |
| Organization Name | HEAVENLY HAVEN |
| Practice Address |
4824 E Brookstown Dr Baton Rouge LA 70805-3823 |
| Practice Telephone | 2253577206 |
| Practice Fax Number | 2253576424 |
| Mailing Telephone | 2253577206 |
| Mailing Fax Number | 2253576424 |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2008-03-14 |
| Authorized Official Name | MS. DOROTHY I NELSON (CEO) |
| Authorized Official Telephone | 2253577206 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 11483 | LA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 11483 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295284727 | Heavenly Haven | Clinic/Center | 4748 Clover St, Unit A, Houston, TX 77033-4047 | 2016-09-26 |
| 1871044925 | Heavenly Haven | Clinic/Center | 4748 Clover St, Unit A, Houston, TX 77033-4047 | 2016-10-24 |
| 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 |
| 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 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | HEAVENLY HAVEN LLC | 1823 N Center Ln, Po Box 11701, Spokane Valley, WA 99211 |
| Colorado Business Entities | Heavenly Haven LLC | 4527 Palmer Park Blvd, Colorado Springs, CO 80915 |
| Street Address |
4824 E BROOKSTOWN DR |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70805-3823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396702866 | Heavenly Haven, Inc. | Respite Care | 4824 E Brookstown Dr, Baton Rouge, LA 70805-3823 | 2006-04-28 |
| 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 |
| 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 | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235738857 | Tempestt Monique Mitchell | Home Health | 4720 North Blvd, Baton Rouge, LA 70806-4016 | 2020-10-23 |
| 1750921979 | La Homecare, LLC | Home Health | 5055 S Sherwood Forest Blvd, Baton Rouge, LA 70816-4644 | 2020-01-15 |
| 1649745662 | Divine Touch Sitting Service LLC | Home Health | 2041 Rice Dr, Baton Rouge, LA 70802-1572 | 2018-10-05 |
| 1386138055 | Ohf Homehealth | Home Health | 5655 Peerless St, Baton Rouge, LA 70811 | 2018-06-18 |
| 1720591118 | Stick With Us L.L.C. | Home Health | 4535 Bennington Ave Unit 80057, Baton Rouge, LA 70898-5042 | 2017-11-08 |
| 1326558867 | South Regional Personal Care Service, LLC | Home Health | 10319 Old Hammond Hwy Ste B1, Baton Rouge, LA 70816-8288 | 2017-10-11 |
| 1659897759 | Louisiana Home Health of Feliciana, LLC | Home Health | 2645 O'neal Lane Building C, Suite C, Baton Rouge, LA 70816-3179 | 2017-08-21 |
| 1316475460 | Pinnacle Care Holdings LLC | Home Health | 5627 S Sherwood Forest Blvd Ste A, Baton Rouge, LA 70816-6032 | 2017-06-01 |
| 1700338688 | Geaux Home Health, Inc. | Home Health | 15565 Green Trails Blvd, Baton Rouge, LA 70817-3178 | 2016-10-26 |
| 1003281874 | Precise Choice Personal Care Services LLC | Home Health | 3519 Wyandotte St, Baton Rouge, LA 70805-5871 | 2015-12-05 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70805 |
Please comment or provide details below to improve the information on HEAVENLY HAVEN.
| 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.