NPIMap

Organization Active NPI

Heavenly Hills Adult Day Care

  • Developmentally Disabled Services Day Training Agency
  • Dayton, MN
National Provider Identifier
1124253497
Registry record updated May 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
HEAVENLY HILLS ADULT DAY CARE
Practice address
13811 114TH Ave N
Dayton, MN 55369
Phone
(612) 298-5518
Fax
(763) 425-7671
NPI assigned
May 15, 2009
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Larisa Kharchenko
Title
Owner
Phone
(612) 298-5518

National Provider Directory

National Provider Directory
Tax ID family
American Eagle Transportation4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

13811 114TH Ave N
Dayton, MN 55369

Mailing address

13811 114TH Ave N
Dayton, MN 55369
Phone (612) 298-5518

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 15, 2009.

{
    "created_epoch": "1242345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242345600000",
    "number": "1124253497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13811 114TH AVE N",
            "city": "DAYTON",
            "state": "MN",
            "postal_code": "55369",
            "telephone_number": "612-298-5518",
            "fax_number": "763-425-7671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13811 114TH AVE N",
            "city": "DAYTON",
            "state": "MN",
            "postal_code": "55369",
            "telephone_number": "612-298-5518",
            "fax_number": "763-425-7671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY HILLS ADULT DAY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-15",
        "last_updated": "2009-05-15",
        "status": "A",
        "authorized_official_last_name": "KHARCHENKO",
        "authorized_official_first_name": "LARISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-298-5518"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.